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The Pennsylvania State University The Graduate School College of Engineering MEASURING THE IMPACT OF MECHANICAL CONTRACTOR DESIGN INVOLVEMENT ON BUILDING SYSTEM AND PROJECT-LEVEL OUTCOMES: A COMPARATIVE CASE STUDY A Thesis in Architectural Engineering by Bryan W. Franz © 2011 Bryan W. Franz Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Science August 2011

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The Pennsylvania State University

The Graduate School

College of Engineering

MEASURING THE IMPACT OF MECHANICAL CONTRACTOR DESIGN

INVOLVEMENT ON BUILDING SYSTEM AND PROJECT-LEVEL OUTCOMES:

A COMPARATIVE CASE STUDY

A Thesis in

Architectural Engineering

by

Bryan W. Franz

© 2011 Bryan W. Franz

Submitted in Partial Fulfillment of the Requirements

for the Degree of

Master of Science

August 2011

ii

The thesis of Bryan W. Franz was reviewed and approved* by the following:

David R. Riley

Associate Professor of Architectural Engineering

Thesis Advisor

John I. Messner

Associate Professor of Architectural Engineering

Robert M. Leicht

Assistant Professor of Architectural Engineering

Chimay J. Anumba

Professor of Architectural Engineering

Head of the Department of Architectural Engineering

*Signatures are on file in the Graduate School.

iii

ABSTRACT

Due to rising energy costs and increasing attention to indoor environmental quality, the

application of sustainable or “green” practices in healthcare facilities is gaining momentum. Healthcare

owners spend nearly $5 billion annually for electricity to operate 24-hour facilities, the highest of all

building industry sectors. Additionally, cases of hospital-acquired infections currently surpass 1.7 million

and are a leading cause of mortality in the U.S. HVAC and mechanical systems are a vital component of

all healthcare facilities, accounting for nearly 45% of the building’s energy usage. The need for strict

infection control and sensitive bio-engineering equipment, coupled with the potential for literally life-

threatening failures, demands that mechanical systems be installed with the highest degree of reliability

and precision. In response, many healthcare owners are turning to design-build contracts, which

empower a single contractor with the responsibility of designing, installing and commissioning a

functioning mechanical system.

Efforts to understand the impacts of integrated forms of delivery on project success have led to

the development of high-performance metrics heavily focused on using project-level metrics and

indicators to predict outcomes; however, specialty contractors at the building system-level have an

increasingly important role in the design of sustainable buildings. In a typical healthcare facility, where

the design and installation of mechanical systems represent between 20% and 50% of the project cost,

understanding building system-level relationships is crucial to predicting overall project success. To

begin understanding how the early involvement of specialty contractors relates to project success and the

performance of building systems, this research develops a comparison method to evaluate the

contributions of the mechanical contractor during design and construction.

Relationships are traced with a comparative case study of two similar hospital facilities, using

existing project-level performance metrics, to identify the relationships between integrated mechanical

system delivery and project outcomes. By combining detailed data, obtained from primary source

documents, with secondary source semi-structured team interviews, this research uses explanation-

building techniques to identify causal relationships. Results indicate improved cost and schedule

predictability at both the project and mechanical building system-level with an integrated design-build

delivery. Additionally, under a design-build arrangement, the mechanical contractor has the opportunity

and incentive to engage in iterative system design, which can improve the energy efficiency of the facility

and reduce the likelihood of construction safety accidents.

iv

TABLE OF CONTENTS

LIST OF FIGURES………………………………………………………………………………………………...vii LIST OF TABLES…………………………………………………………………………………………………viii LIST OF EQUATIONS………………………………………………………………………………………….…ix Chapter 1 INTRODUCTION ........................................................................................................................ 1 

1.1  Background ................................................................................................................................... 1 1.2  Integrated Design Efforts in Healthcare ........................................................................................ 2 1.3  Measuring Outcomes in High-Performance Buildings ................................................................. 2 1.4  Moving from Project-Level to Building System-Level ................................................................ 3 1.5  Problem Statement ........................................................................................................................ 4 1.6  Research Questions ....................................................................................................................... 4 1.7  Description of the Research .......................................................................................................... 5 1.8   Summary of Contributions ............................................................................................................ 6 1.9  Reader’s Guide .............................................................................................................................. 6 

Chapter 2 LITERATURE REVIEW ............................................................................................................. 7 

2.1  Introduction ................................................................................................................................... 7 2.2  The Integrated Design Process ...................................................................................................... 7 

2.2.1  Value of Integrated Design to System-Level Outcomes in Healthcare ................................. 9 2.2.2  Measuring Project-Level Outcomes .................................................................................... 10 

2.3  Role of Specialty Contractors in the Design Process .................................................................. 12 2.3.1  Impact of Procurement on Design Involvement ................................................................. 13 2.3.2  Contributions from the Mechanical Contractor .................................................................. 13 

2.4  Evolution of Design Integration .................................................................................................. 14 2.4.1  Challenges to Developing Integrated Teams ...................................................................... 15 2.4.2  Using BIM to Improve Collaboration ................................................................................. 15 2.4.3  Balancing Risk/Reward for Team Members ....................................................................... 16 2.4.4  Costs of Integrated Design .................................................................................................. 17 

2.5  Summary of Literature Review ................................................................................................... 17  Chapter 3 RESEARCH METHODOLGY .................................................................................................. 18 

3.1  Research Goal & Objectives ....................................................................................................... 18 3.2  Case Study Identification ............................................................................................................ 20 3.3  Types of Project Data .................................................................................................................. 20 

3.3.1  Schedules ............................................................................................................................ 23 3.3.2  Change Order Logs ............................................................................................................. 23 3.3.3  Quality Control Logs .......................................................................................................... 24 3.3.4  Safety Reports ..................................................................................................................... 25 3.3.5  Energy Models and LEED Scorecard ................................................................................. 25 

v

3.3.6  Requests for Information .................................................................................................... 26 3.4   Data Analysis Process ................................................................................................................. 26 

3.4.1   Defining Project Attributes ................................................................................................. 27 3.4.2  Causal Analysis and Explanation-Building ........................................................................ 29 

3.5  Summary ..................................................................................................................................... 31  Chapter 4 DATA COLLECTION ............................................................................................................... 32 

4.1  Case Study Background .............................................................................................................. 32 4.1.1  Case A Overview ................................................................................................................ 33 4.1.2  Case B Overview ................................................................................................................ 34 

4.2  Summary of Control Variables ................................................................................................... 34 4.2.1  Validating Differences in Project Size ................................................................................ 36 4.2.2  Validating Differences in Clinic-to-Hospital Area Ratios .................................................. 37 

4.3  Sources of Project Data ............................................................................................................... 38 4.3.1  Project Documentation ........................................................................................................ 38 4.3.2  Site Observations ................................................................................................................ 38 4.3.3  Semi-Structured Interviews ................................................................................................. 39 

4.4  Summary of Independent Project Variables ............................................................................... 39 4.4.1  Contract Type, Organizational Structure, Procurement, Design Integration ...................... 39 4.4.2  Owner Commitment ............................................................................................................ 40 4.4.3  Team Commitment ............................................................................................................. 43 4.4.4  Team Characteristics ........................................................................................................... 45 

4.5  Summary of Dependent Outcome Variables ............................................................................... 47 4.5.1   Schedule Growth ................................................................................................................. 47 4.5.2  Cost Growth ........................................................................................................................ 48 4.5.3  Requests for Information .................................................................................................... 50 4.5.4  Quality Control Reports ...................................................................................................... 51 4.5.5  Safety Reports ..................................................................................................................... 52 4.5.6  LEED Scorecard and Energy Performance ......................................................................... 52 

4.6  Summary ..................................................................................................................................... 55  Chapter 5 DATA ANALYSIS AND DISCUSSION .................................................................................. 57 

5.1  Identifying Differences in Project Attributes .............................................................................. 57 5.2  Identifying Outcome Differences ................................................................................................ 58 5.3  Understanding Cost and Schedule Predictability Outcomes ....................................................... 60 

5.3.1  Value of Predictability on Projects ..................................................................................... 60 5.3.2  Method for Comparing Predictability ................................................................................. 61 5.3.3  Evidence of Cost Predictability ........................................................................................... 61 5.3.4  Evidence of Schedule Predictability ................................................................................... 63 

5.4  Determining Cause and Effect for Predictability Outcomes ....................................................... 64 5.4.1  Identification of Unique Causal Factors Impacting Predictability Outcomes ..................... 64 

vi

5.4.2  Identification of Influencing Project Attributes on Causal Factors ..................................... 66 5.5  Relating Project Attributes to Predictability Outcomes .............................................................. 67 

5.5.1  Organizational Structure → Cost Predictability ................................................................. 68 5.5.2  Organizational Structure → Schedule Predictability .......................................................... 71 5.5.3  Contract Type → Cost Predictability .................................................................................. 78 5.5.4  Owner Commitment → Cost Predictability ........................................................................ 80 5.5.5  Team Commitment → Schedule Predictability .................................................................. 81 

5.6  HVAC Building System Performance Outcomes ....................................................................... 83 5.7  Jobsite Safety Outcomes ............................................................................................................. 86 5.8  Summary ..................................................................................................................................... 88 

Chapter 6 CONCLUSIONS AND CONTRIBUTIONS ............................................................................. 90 

6.1  Research Conclusions ................................................................................................................. 90 6.2  Research Limitations................................................................................................................... 91 6.3  Research Contributions ............................................................................................................... 92 6.4  Recommendations for Future Research ...................................................................................... 93 

REFERENCES ........................................................................................................................................... 94

APPENDIX A: Glossary of Terms…………………………………………………………………………...97

APPENDIX B: Sample Semi-Structured Interview Questions.………………………………………..…...98

APPENDIX C: Summary of Independent Project Variables for Case A and B......……………………….99

APPENDIX D: Diagram for Relating Outcomes of Improved Predictability on Case A and B...............105

vii

LIST OF FIGURES

Figure 1-1: Existing usage of high-performance metrics as a project-level slice through all building types, compared with the building system-level slice specific to healthcare buildings .......................................... 4 Figure 2-1: Information flow model for product design (Shooter et al. 2000) ............................................ 8 Figure 2-2: Over the wall model for traditional construction design (Evbuomwan & Anumba 1998) ....... 8 Figure 2-3: Integrated design process with optimal collaborative effort (7group & Reed 2009) ................. 9 Figure 2-4: Summary of benefits provided by design-build mechanical contractors ................................. 14 Figure 3-1: Map of data collection process ................................................................................................. 21 Figure 3-2: Map of data collection and data analysis process for case comparison ................................... 30 Figure 5-1: Independent project variable relationships with predictability outcomes ................................ 67 Figure 5-2: Case comparison of mechanical contractor construction costs ................................................ 70 Figure 5-3: Case comparison of mechanical contractor general conditions ............................................... 71 Figure 5-4: Timeline comparison of Case A and Case B with notations .................................................... 73 Figure 5-5: Case comparison of linear project-level design and construction rates ................................... 76 Figure 5-6: Case comparison project completion by duration, with delivery speeds ................................. 78 Figure 5-7: Percent design completion with percent cost growth, project and mechanical ........................ 80 Figure 5-8: Case A award-fee distribution by category .............................................................................. 82 Figure 5-9: Percentage of Case A award-fee pool available at each period ............................................... 83 Figure 5-10: Safety performance comparison between Case A and Case B ............................................... 87 

viii

LIST OF TABLES

Table 1-1: Existing project-level variables for evaluating HPG buildings (Korkmaz 2005) ........................ 3 Table 2-1: Comparison of project success measures (Chan 2002) and variables (Korkmaz 2010) ........... 12 Table 3-1: Proposed dependent variables of study with associated metrics and source documents ........... 22 Table 3-2: Incidence rates for construction sector by size (U.S. Bureau of Labor Statistics 2008) ........... 25 Table 3-3: Independent project variables with proposed level of integration ranking ................................ 28 Table 4-1: Summary of control variables for Case A and Case B .............................................................. 36 Table 4-2: Calculated R.S. Means size factors and cost multipliers ........................................................... 36 Table 4-3: Estimated project unit cost, adjusted for differences in use areas between cases ..................... 37 Table 4-4: Summary of project delivery independent variables for Case A and Case B ............................ 40 Table 4-5: Data sources for determining owner commitment .................................................................... 42 Table 4-6: Summary of owner commitment independent variable criteria ................................................ 42 Table 4-7: Data sources for determining team commitment ....................................................................... 44 Table 4-8: Summary of team commitment independent variable criteia .................................................... 44 Table 4-9: Data sources for determining team characteristics .................................................................... 46 Table 4-10: Summary of team characteristics independent variable criteria .............................................. 46 Table 4-11: Summary of schedule performance data for Case A and Case B ............................................ 48 Table 4-12: Summary of cost performance data for Case A and Case B .................................................... 49 Table 4-13: Summary of RFI data for Case A and Case B ......................................................................... 51 Table 4-14: Summary of quality control and quality assurance data .......................................................... 51 Table 4-15: Summary of safety data for Case A and Case B ...................................................................... 52 Table 4-16: Summary of LEED and energy data for Case A and Case B .................................................. 53 Table 4-17: Summary of energy modeling results and energy performance .............................................. 54 Table 5-1: Selection of independent project variables for further analysis ................................................. 58 Table 5-2: Grouping of case study outcome metrics into contextual outcomes ......................................... 59 Table 5-3: Project and mechanical system unit cost comparison with percent difference .......................... 62 Table 5-4: Percentage breakdown of mechanical contractor change orders with percent difference ......... 63 Table 5-5: Schedule unit durations with percent difference ....................................................................... 63 Table 5-6: Causal factors impacting cost predictability, by case occurrence ............................................. 65 Table 5-7: Causal factors impacting schedule predictability, by case occurrence ...................................... 65 Table 5-8: Sorted causal factors for predictability, by influencing project attribute .................................. 66 Table 5-9: Timing comparison table for milestones and selected design processes ................................... 75 Table 5-10: Mechanical system description and maintenance information by case ................................... 85 Table 5-11: Building energy performance and cost savings by case .......................................................... 86 

ix

LIST OF EQUATIONS

Equation 5-1: Percent difference ................................................................................................................ 61 

Equation 5-2: Percent growth ..................................................................................................................... 61 

1

Chapter 1

INTRODUCTION

1.1 Background

Due to rising energy costs and increasing attention to indoor environmental quality, the

application of sustainable or “green” practices in healthcare facilities is gaining momentum.

Healthcare owners spend nearly $5 billion annually for electricity to operate 24-hour facilities,

the highest of all building industry sectors (U.S. Department of Energy 2003). Cases of hospital-

acquired infections currently surpass 1.7 million and are a leading cause of mortality in the U.S.,

exceeding the deaths attributable to AIDS, cancer and automobile accidents (Klevens et al. 2007).

Green hospitals address both issues, with the promise of reduced energy usage, lower operating

expenses and improved clinical outcomes. Since the first LEED-certified healthcare facility was

opened in 2003, over 120 hospital projects have been publically registered with the U.S. Green

Building Council (USGBC). While the market for sustainable healthcare facilities is still

developing, initial research shows that an integrated design process, involving multiple

disciplines early in project development, is central to implementing green goals or strategies at a

reasonable initial cost.

Heating, ventilation and air-conditioning (HVAC) and mechanical systems are a vital

component of all healthcare facilities, accounting for nearly 45% of the building’s energy usage

(Consortium for Energy Efficiency 2005). In addition to 24-hour operational demands, hospitals

have specific mission-critical functions that are essential for patient care. The need for strict

infection control and sensitive bio-engineering equipment, coupled with the potential for literally

life-threatening failures, demands that mechanical systems be installed with the highest degree of

reliability and precision. In response, many healthcare owners are turning to design-build

contracts, which empower a single contractor with the responsibility of designing, installing and

commissioning a functioning mechanical system. Research shows that the mechanical

contractor’s design knowledge and field expertise can reduce energy costs and enhance reliability

through innovative system design, awareness of work spaces and right-sized equipment (Riley,

2

Sanvido, et al. 2005). Measurement of contractor contributions to design is necessary to identify

the relationships between early trade involvement and project outcomes, and to understand how

and when contractors add the most value to design.

1.2 Integrated Design Efforts in Healthcare

Integrated design practices and collaborative team efforts are frequently cited as key

contributors to the achievement of project goals in healthcare facilities. Case studies of the

Children’s Hospital of Pittsburgh UPMC and Penn State’s Hershey Medical Center suggest that

early team involvement, strong stakeholder commitment and transparent goals are characteristics

of integrative design that are correlated with higher LEED ratings (Bilec et al. 2009). Similarly,

the Dell Children’s Medical Center in Austin, Texas attributed its LEED Platinum rating to an

unwavering team commitment and the establishment of explicit goals during early phases of

design (Cassidy 2010). Clearly, the complexity of hospital and medical facilities necessitates a

shift away from traditional “over-the-wall” design practices and towards an integrated,

interdisciplinary approach. The most recent model of integrated design, the 7group’s 4E concept,

suggests that meaningful collaboration is only achieved when Everybody is Engaging Everything

Early (7group and Reed 2009). The 4E philosophy proposes that a unified, whole-building

design results from a series of iterative scope refinements, workshops and value assessments.

The synthesis of construction expertise with design knowledge and feedback sessions adds value

to the building process by eliminating the barriers between architects and contractors. While

integrated design is slowly being adopted in all sectors of the construction industry, the

collaborative process is bringing immediate benefits to healthcare projects.

1.3 Measuring Outcomes in High-Performance Buildings

Efforts to understand the impacts of integrated delivery on project success have led to the

development of high-performance metrics, specifically designed for sustainable buildings.

Evolving from the seminal work of Konchar and Sanvido (1998), which used basic metrics of

cost, quality and schedule performance, Korkmaz (2005) proposed an expanded listing of

variables associated with project success. These new high-performance evaluation measures,

summarized in Table 1-1, provide a more comprehensive, project-level view of factors effecting

the level of integration and likelihood of achieving green or sustainable goals. Unlike product-

based metrics, such as LEED or Green Globes, which award points and ranking based on the

3

achievement of specific green goals, Korkmaz’s measures are a process-based approach that

attempts to predict project outcomes by considering likely success indicators. Trial studies of

these metrics were conducted on eight LEED-certified office buildings in Washington, D.C.,

where results suggested strong relationships between integrated design with construction teams

and higher performance, as measured in terms of cost growth and schedule growth, quality and

sustainability. Since the publication of findings from these initial trial studies, additional testing

of high-performance metrics at the project-level has occurred across all sectors of the

construction industry. Most notable is the work of the Charles Pankow Foundation, which

currently uses this research as the basis for collecting and analyzing data on green

buildings(Molenaar et al. 2009; Korkmaz, M. Horman, Riley, et al. 2010).

Table 1-1: Existing project-level variables for evaluating HPG buildings (Korkmaz 2005)

High-Performance Project-Level Evaluation Variables

Independent Variables Dependent Variables Control Variables Owner commitment Project delivery Project procurement Timing of involvement Integrated design Project team

characteristics Construction process

Cost Time Quality Safety Level of high

performance Overall success

Local regulation Labor availability Geographic location Project size Project complexity Project type Type of building

systems

(Process indicators) (Performance metrics) (External environment)

1.4 Moving from Project-Level to Building System-Level

Present research efforts on integrated design are heavily focused on using project-level

metrics and indicators to predict outcomes; however, specialty contractors at the building system-

level have an increasingly important role in the design of sustainable buildings. From curtain

wall assemblies to HVAC systems, specialty contractors possess the system knowledge and field

expertise to deliver more energy efficient, cost-effective designs. In a typical healthcare facility,

where the design and installation of mechanical systems represent between 20% and 50% of the

project cost, understanding building system-level relationships is crucial to predicting overall

project success. Unfortunately, few researchers have deeply explored or measured outcomes

associated with contributions from MEP contractors to the integrated design process. While

design assistance from specialty contractors is subjectively valued by project teams, contractor

feedback is frequently underutilized because of poor communication or misaligned contract

4

incentives (Gil et al. 2000). Therefore, adapting the usage of high-performance metrics from a

broader project-level approach to the building system-level, as shown in Figure 1-1, will assist in

understanding the role of specialty contractors during design.

Figure 1-1: Existing usage of high-performance metrics as a project-level slice through all building types, compared with the building system-level slice specific to healthcare buildings

1.5 Problem Statement

While the design and construction processes of building systems are often improved by

the integration of specialty contractors during the early stages of project development, no

methodology exists for specifically assessing their contributions to project outcomes.

Furthermore, the number of variables and interactions on typical projects are often staggering,

making clear cause and effect relationships difficult to pinpoint. In theory, the same project-level

metrics developed recently for high-performance buildings could be applied or adapted to the

building system-level and the work of individual specialty contractors. To understand how the

early involvement of specialty contractors relates to project success and the performance of

building systems, this research develops a comparison method to evaluate the contributions of the

mechanical contractor during design and construction.

1.6 Research Questions

1. What methodologies can assess the impact of contributions from the mechanical

contractors involved with an integrated design process?

Commercial Offices

Retail

Educational

Healthcare

Industrial

Building Ty

pes

Several prior studies: Project‐level analysis across all building types

This research: Two case study building system‐level analysis, specific to healthcare buildings

5

2. Are there differences between highly integrated and less integrated building system

approaches which are measurable with existing project-level metrics?

3. How are outcomes at the mechanical building system-level related to overall project-level

outcomes?

1.7 Description of the Research

This research performed a comparative case study, using existing project-level

performance metrics, to identify the relationships between integrated mechanical system delivery

and project outcomes. A nationally recognized design-build mechanical contractor agreed to

participate in a study involving two new hospital construction projects, which were believed to

illustrate outcome differences attributable to varying levels of contractor design integration and

timing of involvement. Case A, which engaged the mechanical contractor in a design-build

capacity, appeared to perform more consistently in cost and schedule outcomes, when compared

to the more traditional construction manager (CM) at risk organizational structure used on Case

B. Differences between these case studies were collected to build case descriptions using the

project-level variables proposed by Korkmaz (2005) to determine how outcome differences were

impacted at both the project-level and building system-level by design contributions from the

mechanical contractor.

By combining project data obtained from primary source documents, including RFIs,

change order logs, schedules and field observation, with secondary source semi-structured team

interviews, this research used explanation-building techniques to identify causal relationships

between project attributes and project outcomes. Project attributes are the independent project

variables, such as delivery method, contract type, procurement strategy and team characteristics,

which are often established early in project development and define the depth and timing of

contractor involvement. Project outcomes are the dependent outcome variables or performance

metrics that measure cost growth, schedule growth, energy performance, quality or work and

safety statistics. Underlying both project attributes and project outcomes are control variables,

including building size, type, funding method, location and complexity, which describe the

external environment or context of a project. Once collected, the detailed project outcome

metrics on both cases were reviewed and categorized into broader contextual outcomes to

eliminate redundancies. After identifying differences in project attributes, explanation-building

6

techniques were used to propose and discuss several potential causal relationships with project

outcomes.

1.8 Summary of Contributions

1. Testing of existing project-level performance metrics at the building system-level in a

comparative case study, focusing specifically on the mechanical contractor.

2. Comparison structure and methodology for reviewing the contributions of specialty

contractors to design and construction performance.

3. Identification of several causal relationships, linking specific project attributes to building

system-level and project-level outcomes.

1.9 Reader’s Guide

Chapter 1 provided an introduction to the research problem, including relevant

background information, problem statement and description of proposed research. Chapter 2

presents a literature review to identify gaps in current knowledge, which serve as the motivation

for this study. The data collection methodology and research analysis techniques are described in

Chapter 3. Chapter 4 provides a detailed account of both cases, including case overviews,

variable descriptions and resulting outcome metrics. Chapter 5 discusses several causal

relationships between project attributes and the notable contextual outcome differences between

cases. Finally, Chapter 6 summarizes the strongest conclusions, states contributions to the

research community and proposes areas of future research.

7

Chapter 2

LITERATURE REVIEW

2.1 Introduction

Hospitals rely on high-performance mechanical systems to provide 24-hour ventilation,

conditioning and sterilization for effective patient care. Consequently, healthcare organizations

spend over $5 billion annually on electricity (U.S. Department of Energy 2003), with HVAC

systems accounting for nearly 45% of the total energy usage (Consortium for Energy Efficiency

2005). When involved with an integrated design and construction process, project teams have a

unique opportunity to improve the efficiency, reliability and sustainability of HVAC systems in

healthcare facilities. Specifically, the design capability and expertise of mechanical contractors

are quantifiable resources in delivering cost-effective, energy and resource efficient building

systems in the growing healthcare construction industry.

2.2 The Integrated Design Process

Inadequacies of traditional or “over the wall” design approaches have encouraged a shift

towards interdisciplinary collaboration during the early stages of project planning. Traditional

design strategies promoted well-defined and sequential steps, which develop building systems

from concept to construction in relative isolation (Evbuomwan & Anumba 1998). For example,

architectural and structural drawings are typically a prerequisite for starting HVAC design,

despite the impact of glazing type and material selection on the heating and cooling loads of

mechanical systems. As shown in comparing Figures 2-1 and Figure 2-2, the concept of

traditional design in construction closely matches an engineering model for product development

(Shooter et al. 2000). Both models depict a linear progression and the gradual addition of design

information without any upstream or downstream feedback. This process of isolated decision-

making and fragmented information flow historically results in expensive change orders,

redundant designs and suboptimal building performance (Kashyap et al. 2003). Therefore,

project teams are incentivized to pursue collaborative design efforts, as a means of meeting the

performance demands of increasingly complex buildings.

8

Figure 2-1: Information flow model for product design (Shooter et al. 2000)

Figure 2-2: Over the wall model for traditional construction design (Evbuomwan & Anumba 1998)

An integrative design process involves iterative, interdisciplinary teamwork performed

throughout all stages of design. Succinctly, the foundation of integrated design is expressed with

the Four Es: Everybody, Engaging, Everything, Early. The result is meaningful collaboration,

where every team member becomes involved with every system decision, early in project

development (7group & Reed 2009). Although the concept of integrative design is simple, the

implementation is often more complicated. Figure 2-3 illustrates the optimal integrative design

process proposed by 7group, a collection of industry professionals dedicated to sustainable

buildings. This figure shows initially separate disciplines or sub-systems becoming one unified

design after a series of iterative scope refinements, workshops and value assessments. The

synthesis of construction expertise with design knowledge and feedback sessions adds value to

9

the building process by eliminating barriers between architects and contractors. While integrated

design is slowly being adopted by the construction industry, current research demonstrates that

the collaborative process is bringing immediate benefits to building system-level performance of

healthcare projects.

Figure 2-3: Integrated design process with optimal collaborative effort (7group & Reed 2009)

2.2.1 Value of Integrated Design to System-Level Outcomes in Healthcare

Hospitals investing in integrative design typically received higher levels of LEED

certification, when compared to facilities with less ambitious goals or more traditional delivery

methods. At the project-level, case studies of the Children’s Hospital of Pittsburgh UPMC and

Penn State’s Hershey Medical Center suggest that early team involvement, strong stakeholder

commitment and transparent project and sustainability goals are characteristics of integrative

design that are correlated with successful hospital delivery (Bilec et al. 2009). For example, early

team selection engages an interdisciplinary design process, combining contractor experience with

engineering knowledge to accomplish project objectives. Similarly, establishing transparent

goals strengthens team commitments and reduces ambiguity during the design of healthcare

facilities. While LEED rating is not an exhaustive or all-inclusive measure of project success, a

10

higher level of certification indicates improved energy efficiency and qualifies the value of

pursuing integrated design for healthcare projects.

The Dell Children’s Medical Center in Austin, TX achieved LEED Platinum rating with

an integrated design approach that produced innovative HVAC systems and lifecycle energy

savings. During development, the project team established three guiding principles: (1) do not

blindly pursue LEED points, (2) achieve a minimum of 12% return-on-investment, and (3)

perform feasibility studies at each stage of design. The team’s commitment to these principles

resulted in the design of an efficient onsite combined heat and power (CHP) plant, right-sized air

handling equipment serving single departments and a highly customized glazing system. At

completion, the medical center realized a very competitive cost per square foot of $305 and was

rated 61% above the ASHRAE 90.1 energy efficiency baseline for similarly scoped hospital

facilities (Cassidy 2010). The Dell Children’s Medical Center’s success in becoming the first

LEED Platinum hospital exemplifies the benefits of integrated design and collaborative project

delivery to building system-level outcomes.

2.2.2 Measuring Project-Level Outcomes

Selection of project delivery, contracting and procurement methods often dictate the

depth and potential for integrated design. By selecting a specific organizational structure, owners

are defining the timing of team involvement and hierarchy for team relationships and interactions.

Similarly, choosing a contracting type establishes incentives and penalties, while allocating risk

among the project team. Previous research, quantifying the differences between organizational

structures, revealed that design-build typically outperforms traditional design-bid-build with an

average 5% less cost escalation and 9% less schedule growth (Konchar & Sanvido 1998). This

study generally compared an input delivery method against output metrics of cost, schedule and

quality and implies that an integrated design and construction process is correlated with project

outcomes. Expanding on this seminal project delivery research, Korkmaz (2005) used statistical

case study analysis and regression to illustrate how design-build contracting, best value selection

and open communication contribute to achieving sustainability goals in High-Performance Green

(HPG) buildings. Conversely, traditional organizational structures, including design-bid-build

and CM at risk, and inexperienced teams were linked to poor building system performance, often

opting to remove energy-saving features for lower first-cost options. Both studies reached similar

conclusions, demonstrating a link between integrated delivery strategies and typical project

11

success indicators; however, the assessment of healthcare facilities requires more exhaustive

metrics than simply cost, schedule and quality.

More recent research identified additional measures common in highly integrated design

and construction processes, as a means of evaluating building performance. Chan (2002)

proposed a series of “objective” or tangible and “subjective” or intangible success criteria that

included conformance to expectations, functionality, aesthetics and reduction in disputes.

Building on these criteria, Korkmaz (2010) identified “independent” and “dependent” variables

useable as metrics for gauging the success of high-performance buildings. There are several core

similarities between Chan’s objective project success measures and Korkmaz’s dependent

outcome variables, as shown in Table 2-1. Independent variables are unique to each project or

process and include owner commitment, team procurement, team characteristics, construction

processes, contract conditions and design integration. Alternately, dependent variables focus on

outcomes and include schedule and cost performance, quality, energy efficiency and safety

(Korkmaz, M. J. Horman & Riley 2010). While limited in scope, pilot studies of Korkmaz’s

measures were conducted on eight LEED-certified office buildings in Washington, D.C. and

results predicted relationships between integrated design efforts and superior project and building

system-level performance.

12

Table 2-1: Comparison of project success measures (Chan 2002) and variables (Korkmaz 2010)

Objective Measures of Success (Chan 2002)

Dependent Outcome Variables (Korkmaz 2010)

Time Cost Health and safety Profitability

Cost: • Cost growth • Unit cost • Cost intensity

Time: • Schedule growth • Construction speed • Delivery speed

Quality and satisfaction: • Turnover quality • Overall quality • System quality

System performance and sustainability: • IEQ rate • Energy rate • Green rate

Subjective Measures of Success (Chan 2002)

Quality Technical performance Satisfaction of project participants, in regards to: • Conflict management • Completion • Functionality • Aesthetics • Professional image • Educational and

social aspects Sustainability Productivity

2.3 Role of Specialty Contractors in the Design Process

Present research efforts on integrated design and construction practices are heavily

focused on project-level applications and outcomes. However, specialty contractors are

developing an evolving role in the design and construction of high-performance buildings. From

curtain wall assemblies to HVAC systems, specialty contractors often possess the system

knowledge and expertise to deliver energy efficient, cost-effective designs. Unfortunately, few

researchers have deeply explored the role and value of specialty contractors in contributing to

project and building system-level outcomes. Tommelein & Ballard (1997c) reported that

contractors are attempting to shift from on-site, handcrafted work to off-site, prefabrication

strategies where feasible, which requires detailed shop and installation drawings. By transferring

production off-site, contractors become even more reliant on the availability and accuracy of

design information. Early involvement of the contractor is one method of improving coordination

between the installer and designer, ensuring that information flow is continuous and iterative.

When involved and held responsible during the early stages of design, specialty contractors add

value by contributing creative system solutions, knowledge of work spaces, fabrication advice,

13

and material lead time estimates. While these support services are valued by project teams, they

frequently remain untapped during design because of poor communication or misaligned contract

incentives (Gil et al. 2000). Therefore, the quantifiable value of specialty contractor involvement

on integrated teams in the healthcare industry remains unmeasured and largely unknown.

2.3.1 Impact of Procurement on Design Involvement

Procurement decisions impact the depth of contractor integration and are strongly

correlated with project performance. For design-build projects, faster delivery speeds are directly

related to the completeness of scope definition at contractor bid invitation and design completion

at award. Similarly, faster construction speeds are attainable with greater flexibility of the

contract schedule (Ling et al. 2004). Research performed by El Wardani et al. (2006) compared

sole source, qualification-based, best value and low bid procurement methods to determine

relative performance benefits in design-build contracts. The results indicated that contractors

selected through best value and pre-qualification demonstrated the fastest delivery and

construction speeds in high-complexity projects. For healthcare construction, this research

supports the early collaborative involvement of specialty contractors with the expertise to manage

potentially ambiguous scopes, changing end-user requirement and sustainable design elements.

2.3.2 Contributions from the Mechanical Contractor

Due to increased emphasis on hospital and medical facility HVAC performance, specialty

mechanical contractors are more often involved in integrated design. Case studies of design-build

mechanical firms confirmed previous specialty contractor research, verifying that creative design

and fabrication improvements were attainable with earlier team collaboration. Additionally,

mechanical contractors possess the expertise needed to effectively reduce HVAC first costs and

improve system efficiency by “right-sizing” equipment (Riley, Sanvido, et al. 2005). These

benefits of design integration, summarized in Figure 2-4, represent an opportunity for project

teams to meet the energy efficiency demands of healthcare facilities. When involved with an

integrated design-build process, the mechanical contractor assumes a leadership role to leverage

engineering experience and knowledge to improve the HVAC system-level performance, while

remaining incentivized to control cost and schedule growth.

14

Figure 2-4: Summary of benefits provided by design-build mechanical contractors

2.4 Evolution of Design Integration

As healthcare facilities rapidly increase in complexity, the formation of project alliances,

design-build arrangements and integrated project delivery (IPD) involving specialty contractors

are being developed to better align incentives among design and construction teams.

Improvements in building system technology and demands for higher performance have shifted

the construction industry from relying on a single master builder and “over-the-wall” approach to

requiring separate and more specialized teams of professionals, often introducing inefficiencies,

fragmentation and interoperability concerns into the project management process (Kent &

Becerik-Gerber 2010). The IPD concept evolved alongside design-build, as a means of

reconnecting and realigning these fragmented teams and information flows with project goals.

According to the American Institute of Architects (AIA), IPD is defined as a collaborative

alliance of people, systems, and practices into a process to collaboratively use the talents and

insights of all participants. This type of integrated delivery attempts to leverage the expertise of

specialty contractors and design professionals during early phases of program development. In

other words, IPD is characterized by risk sharing, instead of risk shifting as found in traditional

design-bid-build, CM at risk and occasionally design-build organizational structures. The

success of an IPD team depends on the owner, architect and builder's ability to collaborate in

achieving project goals, instead of individual goals.

Design Capability

Field Expertise

• Optimally size equipment • Innovative solutions • Engineering drawings as shop drawings • Improve visibility of systems

• Efficient equipment layout • Simplify installation and maintenance • Reduce onsite labor • Simplify commissioning process

Benefits of Involvement and Design ResponsibilityContractor Competencies

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2.4.1 Challenges to Developing Integrated Teams

While a seemingly sensible approach to promoting an integrated project, the IPD model

is experiencing slow adoption in the construction industry due to several relational and legal

challenges associated with the multi-party contract. Prior research has suggested that team

integration is positively correlated with team effectiveness, emphasizing the importance of

relationships to the success of an IPD or other multi-party contract. A fully integrated team can

be described as having the following characteristics: (1) team focus and objectives, (2) seamless

operation without organizational boundaries, (3) unrestricted cross-sharing of information, (4)

creation of collocated teams, (5) equitable relationships, opportunities and respect for all and (6) a

"no blame" culture (Baiden & Price 2011). Deficiencies in any of these characteristics limit the

successful integration, and subsequently effectiveness, of teams attempting a design-build or IPD

process. Underscoring these integrated team characteristics, research in the field of relational

contracting identified several factors facilitating team relationships, which include: (1) integrated

objectives and risk-reward plan, (2) appropriate risk sharing, (3) motivated owner, (4) trust-based

arrangements and (5) top-down management support (Rahman & Kumaraswamy 2008). These

findings describe an ideally integrated design and construction team, where the potential for

collaboration and coordination is maximized. However, when disagreements do arise, the legal

implications of disputes concerning design responsibility, document ownership, insurance and

project scope within the multi-party contract are largely unaddressed in common law.

2.4.2 Using BIM to Improve Collaboration

Building information modeling (BIM) processes leverage the flow of information

between design and construction teams to improve the efficiency of projects. Currently, the

industry is divided on whether BIM is a required prerequisite to pursuing an IPD approach, with

recent survey results indicating a slight favoring of the non-prerequisite option (Kent & Becerik-

Gerber 2010). However, when implemented, BIM can supplement team integration by: (1)

establishing a framework for describing the work, (2) assisting with team decision-making,

sequencing and supply chain management and, (3) engaging facility managers in design and

construction processes (Zhang & Chen 2010). These supplementary functions promote

collaboration and reduce fragmentation of teams, both important aspects in maintaining the

integrity of design-build or IPD contracts.

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2.4.3 Balancing Risk/Reward for Team Members

The structure of contracts designed to promote an integrated team environment should

provide a balance of risk and reward among the owner, designer and builder. A typical integrated

project agreement follows three main objectives, including: (1) all parties understand their

liability, (2) establish a mechanism for compensation for a breach of contract and, (3) encourage

all parties to act in the interest of the project (Chapman & Ward 2008). Within the context of

these objectives, several clauses are beneficial in striving for risk/reward balance (Zhang & Chen

2010):

• Risk allocation: Under traditional design-bid-build and design-build delivery, each party

is fully responsible for their own negligence, contractual breaches and performance

warranties. However, within an IPD context, risk allocation is limited to an amount

determined through negotiation when the contract is initiated. Team members may seek

claims against each other, but the maximum liability is capped to protect parties from

excessive claims.

• Profit/loss and liability sharing: IPD contracts are frequently structured into multiple

"layers" of shared liability. The bottom layer encompasses the targeted cost of the project

and includes the direct costs, overhead and negotiated profit of each party. The second

layer above the project cost represents a zone of shared fee, which increases or decreases

with changes in the target cost and provides a strong financial incentive. Any actual costs

incurred above the sum of target cost and shared fee are paid by the owner to limit the

responsibility of designers and builders. Design-build contracts frequently include a form

of shared award-fee or incentive pool to reward performance above and beyond

expectations, but is controlled and issued at the discretion of the owner.

• Liability limitations: Within many IPD agreements, all claims are waived on decisions

made by the team leadership, provided that damages were not the result of willful

negligence of misconduct. This clause shares risk evenly by placing faith in the decisions

made by the project team within the context of an IPD arrangement. However,

negotiations and mediation are still viable procedures for addressing more serious claims

and to avoid costly litigation. Design-bid-build and design-build arrangements do not

typically have limits on damage liability.

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2.4.4 Costs of Integrated Design

Integrated project design and delivery requires an initial investment, which may be

recovered by improved process efficiency during construction or during the operational phase of

facility ownership. On average, early involvement of the designer, engineer and contractor adds

3% of total project costs for planning and design and nearly 2-months to the design process

(Kozlowski 2004). While owners report benefits during construction, such as fewer change

orders and contracting disputes, the tangible payback occurs through the operational energy

savings of a successfully integrated building system design. Therefore, measuring and

quantifying the outcomes resulting from early design involvement of specialty and influential

contractors will support owners in weighing the initial costs of design and management against

their expected return on investment.

2.5 Summary of Literature Review

Current research does not adequately address the contributions of specialty contractors to

project and building system-level outcomes on high-performance healthcare facilities. Reviewed

research studies indicate that highly integrated teams, that leverage early contractor involvement

during design phases, increase the likelihood of achieving energy efficiency goals and obtaining

LEED certification in healthcare facilities. At the project-level, integrated delivery methods, such

as design-build, consistently outperform traditional deliveries in categories of cost, schedule and

quality. Specifically, mechanical contractors are finding new opportunities in design-build

healthcare projects by adding collaborative value early in project development. Design-build and

IPD agreements attempt to reintegrate previously fragmented owners, designer, builders and

specialty contractors into a truly integrated team. However, recent research suggests that the

success of these approaches is highly dependent on team relationships, trust and collaboration

between all parties. Risk sharing and incentive clauses assist in ensuring strong team alignment

with project goals and BIM processes have the potential for alleviating some of the collaboration

requirements recommend for developing more integrated teams. Since specialty contractor

expertise is becoming more valued by the project teams, understanding the value of integrated

design-build mechanical contractor involvement will assist owners in delivering energy and

resource efficient healthcare facilities.

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Chapter 3

RESEARCH METHODOLGY

3.1 Research Goal & Objectives

The goal of this research was to understand how an integrated design and construction

process, which included early involvement of the mechanical contractor, impacted building

system and project performance. The study used a comparative analysis of two similar hospital

construction projects, where differing levels of contractor design involvement resulted in notably

divergent and measureable outcomes. Whereas most current research measured the influence of

integrated delivery at the project-level, this study applied the same high-performance metrics to

the building system-level, focusing specifically on the mechanical contractor. The following

research objectives and tasks were performed to advance the research goal:

1) Review existing literature and research methods.

a. Reviewed state-of-the-art metrics currently used by researchers and industry

professionals to assess High-Performance Green (HPG) buildings.

b. Identified a set of parameters or variables to adequately define an integrated

project and establish metric criteria for assessing the project outcomes.

a. Reviewed literature on the role of specialty contractors in design.

2) Identify two hospital case studies and collect data.

a. Identified control variables to describe the external environment of the cases,

which remain constant during design and construction. These include facility

size, type, funding method, location and complexity.

b. Documented all similarities and differences in independent variables

between cases. These include contract type, organizational structure,

19

contractor procurement strategy, owner and team commitment and team

characteristics.

c. Reviewed project schedules, change order logs, quality control logs, RFIs

and meeting minutes to build dependent variable metrics that describe the

performance of each case in terms of cost, schedule, quality, safety and

sustainability.

3) Identify relationships between project attributes and performance outcomes.

a. Used explanation-building techniques to causally link differences in project

attributes with outcomes at the project and building system-level for the

mechanical scope, specifically concerning the following:.

i. What patterns emerge? Did any indicators consistently predict

success or a desirable outcome?

ii. Did the more integrated project team perform better?

iii. How important was the timing and influence of contractor design

feedback?

b. Compared the observed relationships with expectations established in

previous research.

i. How did the building system-level performance relate to or shape the

project-level performance?

4) Present research contributions and summary of future work.

a. Demonstrated a comparison structure, suitable for assessing the contributions

of a specialty contractor’s involvement on integrated design and construction

teams.

i. Adapted project-level metrics to a specific building system and the

work of mechanical contractors.

ii. Organized independent and dependent project variables, in a

manner that is easily understood and readily applied to future case

studies.

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3.2 Case Study Identification

A multiple-case study approach was used for a comparative investigation into the value

of integrating the mechanical contractor into design and construction activities on healthcare

projects. A nationally recognized mechanical engineering and construction firm approached the

Penn State Department of Architectural Engineering with two contrasting hospital projects,

hereafter referred to as “Case A” and “Case B”, with similarities in size, type, location and

sustainable goals, but purportedly diverging in performance outcomes due to differences in

several project delivery components, including organizational structure, contract type and timing

of contractor involvement. An initial vetting with the mechanical contractor on both cases was

performed prior to data collection, confirming that neither project was an unusual or rare case.

Assuming the role of independent investigator, the researcher pursued a rigorous data collection

methodology to quantify the outcomes on both projects. The similarity of control variables and

access to detailed project information were strengths leveraged in this comparative case study.

3.3 Types of Project Data

This study combined quantitative data from primary source project documents, including

RFIs, change order logs, schedules and meeting minutes and jobsite observations with secondary

sources such as semi-structured team interviews. Multiple sources of evidence from several team

members were used to internally validate records and corroborate the outcomes measured from

the project documents. For instance, change order logs from the construction manager/general

contractor (CM/GC) indicating cost escalation due to poorly-defined scope were confirmed by

contractor perceptions of incomplete or unclear design. Multiple data sources also assisted in

minimizing source bias, since the results of this research may support the business model or

preferred project organizational structure of the mechanical contractor providing much of the

project data. A map of the data collection is provided in Figure 3-1 and includes the following

stages: (1) onsite observation, (2) obtain multiple data sources, (3) follow-up on data as

necessary, and (4) organize data into metrics.

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Figure 3-1: Map of data collection process

The primary goal of this data collection process was to obtain an accurate “snapshot” of

each case during the construction phase, which enabled a fair and complete comparison of the

case study outcomes. The construction phase was specifically selected for data collection, since

the practical outcomes of specialty contractor design involvement are not always evident or

measurable in early design phases. Additionally, the selected metrics are proven most useful in

measuring in-progress data, generated during the construction process, which allows project

teams to initiate “course corrections” and adapt to project changes. Data obtained through project

documents constituted the dependent outcome variables or performance measures of this

research. A summary of these dependent outcome variables, with their associated metrics and

source documents is provided in Table 3-1. This method of evaluation was directly adapted from

Korkmaz’s (2005) metrics, previously discussed as a method of assessing specifically High-

Performance Green (HPG) buildings.

Onsite ObservationSpent 1-week onsite for each case, observing CM/GC, owner, architect and contractors

Multiple Data SourcesGathered data from project documents, jobsite observation and semi-structured interviews

Follow‐up DataFollow-up discussions to clarify and verify existing data or request additional informationOrganize into Metrics

Generated 30+ metrics describing project and building system performance outcomes

Data Collection Process

22

Table 3-1: Proposed dependent variables of study with associated metrics and source documents

Dependent Outcome Variable Metric Source Document(s) Schedule

Construction schedule performance

((Actual construction time – estimated construction time) /

Actual construction time) x 100 Baseline project schedule, current project schedule, baseline mech. contractor schedule, current mech. contractor schedule

Design schedule performance ((Actual design time – estimated

design time) / Actual design time) x 100

Time per unit Project duration / total units Cost

Construction cost performance ((Actual construction cost –

estimated construction cost) / Actual construction cost) x 100 Initial and current project

contract value, initial and current mech. contract value

Design cost performance ((Actual design cost – estimated design cost) / Actual design cost)

x 100

Cost per unit Project cost / total units

Pending change orders Qty., $ value Project change order log Approved change orders Qty., $ value

Pending mech. change orders Qty., $ value Mech. change order log Approved mech. change orders Qty., $ value

Quality

Quality performance Qty. of "Open" items, Time to "Closed" status QA/QC log

Safety

Reportable incident rate (Number of reported incidents x 200,000) / Hours worked CM/GC safety reports,

Mech. contractor safety reports Lost time (Number of lost time incidents x

200,000) / Hours worked

Sustainability Goals Planned energy performance W/sf, GJ/yr Initial and current energy

model data Actual energy performance W/sf, GJ/yr

Planned LEED certification LEED rating Initial and current LEED scorecard Actual LEED certification LEED rating

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3.3.1 Schedules

Frequent schedule delays often result in reduced installation quality, due to accelerated

trades and out-of-sequence work. Research shows that traditional schedule analysis, which only

considers planned versus actual dates, is inadequate at explaining the reasons behind delays or

identifying the responsible party (Gransberg & Buitrago 2002). For this case comparison, the

goal of assessing schedule growth was to determine where and how the involvement of the

mechanical contractor in design and construction processes impacts schedule delays or improve

the delivery speed of healthcare projects. The metric to explain schedule changes was percent

growth, with positive values indicating late delivery and negative values showing early finish.

Additionally, separate consideration was given to the mechanical, design and construction

schedules to identify the timing of contractor involvement or requests for design feedback to

enable a stronger comparison between the project and building system-levels on each case.

3.3.2 Change Order Logs

Change orders are the most significant portion of cost growth on construction projects,

often leading to reduced productivity and re-work. Prior research implies that more integrated

processes, which allow the contractor to resolve conflicts during earlier phases of design, can

reduce the occurrence of change orders during construction. In a study limited to mechanical

contracting, the number of change orders relating to unforeseen conditions was reduced by 87%

on design-build projects, when compared to traditional design-bid-build deliveries (Riley, Diller,

et al. 2005). For the purposes of this comparative case study, the following categories of changes

were used to filter the mechanical contractor’s change order logs:

(1) Owner scope change: Owner-initiated, often discretionary;

(2) Contractor scope change: Contractor-initiated, value engineering suggestion or

product substitution approved by owner and designer;

(3) Unforeseen conditions: Contractor or designer initiated, existing site conditions differ

from expected;

(4) Error: Designer liability, incorrectly drawn construction plans or specifications;

(5) Omission: Designer liability, inadvertently omitting item or element from plans; and

(6) Award-Fee or Incentives: Owner-initiated, rewards for performance above and

beyond the original scope, considered cost of work.

24

To sort change orders into these categories, the following questions were answered:

(1) Who requested the change order?

(2) Why was the request made?

Once categorized, change orders were totaled to determine project cost growth and

mechanical system construction cost growth. Owner-initiated change orders, which request

adjustments to scope or design, are not always relevant in revealing differences attributable to

contractor involvement. However, owner-initiated changes provided insight into the owner’s

commitment to project goals, ability to define scope and likelihood of making timely decisions.

Unforeseen conditions, errors and omissions are categories where integrated design practices can

potentially decrease the occurrence and value of change orders and were relevant in highlighting

the divergence in mechanical system cost escalation between cases.

3.3.3 Quality Control Logs

Quality is often an indicator of design completeness and managerial competency of the

project team. Research indicates that the cost-of-quality (COQ), including prevention and failure

correction, can reach 18% of the project cost (Hall & Tomkins 2001). While the proposed

research will not perform a COQ analysis, qualitative assessments illustrated how mechanical

contractor design involvement may reduce instances or types of quality failures. The following

categories summarize the typical causes of quality deficiencies on construction projects:

(1) Communication: Poor information control or misunderstandings;

(2) Personnel: Carelessness, lack of training or poor workmanship;

(3) Management: Lack of planning, poor supervision or insufficient budget;

(4) Design: Complicated or unclear design;

(5) Materials: Defective or damaged materials; and

(6) Force Majeure: Third parties, weather or other uncontrollable conditions.

At a minimum, each case study’s quality control logs included: deficiency description,

responsible party, date opened, date closed and approval signature. From this information,

quality items concerning the mechanical trade were identified and tallied, although follow-up

discussions with the mechanical contractor were needed to clarify causal relationships and ensure

accurate categorization. For instance, installation errors may be attributable to a specific

25

individual, but the root cause could vary from worker inexperience, misunderstandings or poor

supervision. The goal of reviewing quality control logs was to generally correlate the frequency

and type of quality issues with differing levels of mechanical contractor design involvement.

3.3.4 Safety Reports

Construction activities account for nearly 19% of all workplace fatalities, the largest

percentage of any industry sector (U.S. Bureau of Labor Statistics 2008). The responsibility for

jobsite safety belongs with the project team, which often only considers hazard management

during the construction phase. Therefore, a more holistic view or awareness of safety risks,

during the design and planning phases, may improve project delivery. Safety reports were

collected from both the mechanical contractor and CM/GC to determine their current OSHA

recordable incident and lost time rates. The calculated rates were compared against the industry

standard rates for 2010, summarized in Table 3-2, for similarly sized companies. The goal of

documenting safety performance on these case studies was to determine if early contractor design

involvement and responsibility reduces the likelihood or improves awareness of construction

safety risks.

Table 3-2: Incidence rates for construction sector by size (U.S. Bureau of Labor Statistics 2008)

Industry sector

All establishments

Establishment employment size (workers)

1 to 10 11 to 49 50 to 249 250 to 999

1,000 or more

Construction 4.7 3.2 5.4 5.4 4.2 1.9

3.3.5 Energy Models and LEED Scorecard

Energy modeling is an effective method of optimizing HVAC systems by allowing

iterative comparisons of building systems to balance energy efficiency with cost-effectiveness.

Simulations are uniquely valuable during early stages of design, where building geometry,

geographical location, wall characteristics and owner operating schedules can assist in predicting

energy load profiles. For this case study research, collecting energy model results revealed how

integration of the mechanical contractor into design and construction activities impacted the

planned energy performance of each facility. As typically measured, the modeled energy savings

by cost is compared against the cost to operate an ASHRAE Standard 90.1-2001 baseline

building to determine the percent improvement.

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As part of a highly regulated industry, healthcare facilities are often slower and more

cautious in adopting sustainable practices. According to the U.S. Green Building Council (2009),

only 1% of LEED certified buildings are healthcare facilities. Both case studies in this research

initially targeted a Silver certification under LEED NCv2.2 in accordance with public regulations

and funding requirements to deliver energy conserving buildings. LEED NCv2.2 defines Silver

certification as obtaining between 33 and 38 points, which establishes the success criteria for both

cases. Planned and as-submitted point totals were obtained from each project’s LEED scorecard

for comparison purposes and to understand differences in the key Energy & Atmosphere and

Indoor Environmental Quality categories.

3.3.6 Requests for Information

The request for information (RFI) process addresses inadequacies, errors,

misunderstandings or missing information in the construction drawings and specifications.

Formal responses require a time commitment from the design team and typically result in

contractor change orders, which subsequently delays or negatively impacts construction activities.

As another quantitative comparison, the RFI logs on both cases were collected and filtered to

assess only mechanical-related issues. The goal of reviewing the RFI logs is to determine if early

contractor involvement and design responsibility directly reduce the number of mechanical-

related RFIs.

3.4 Data Analysis Process

Unlike statistical analyses that follow a rigid set of methods or formulas, the organization

of case study data is considerably less structured and more dependent on the researcher's thinking

style and presentation of evidence (Yin 2003). Previous project delivery research utilized

statistics and regression models to match one or more process indicators with a specific outcome,

effectively addressing what variables are important in higher performance buildings, but not

directly explaining how or why these relationships work. Case study research can offer unique

insights into these indicator and outcome relationships by focusing on the real-life context,

circumstances and events surrounding a project. For instance, statistical analyses have correlated

design-build with reduced cost and schedule escalation, but what aspect of a design-build

organizational structure is impacting the outcome? As a single variable, the organizational

27

structure defines the party responsible for design, the degree of owner control of the design and

hierarchy for information flow between team members. This multiple-case comparative study

explored these types of multifaceted variable impacts, within the contexts of Case A and Case B.

3.4.1 Defining Project Attributes

Project attributes are the independent project variables, which are frequently determined

early in the project lifecycle and have impacts on the levels of team integration and involvement

of contractors. A listing of independent variables is provided in Table 3-3, along with a

subjective ranking associated with each variable. The low/medium/high designations are the

opinion of this researcher, conceived from a review of current literature on integrated

construction processes. They are not presented as proven concepts and are included only to form

qualitative determinations of the more integrated case study. The less documented and more

objective variables of owner commitment, team commitment and team characteristics are ranked

by tallying the indicators often associated with higher performance. This method of qualification

evenly considers each statement and does not imply that one indicator is more important or

weighted more heavily than another.

The indicators selected to represent owner commitment and team characteristics were

adapted directly from Korkmaz’s (2010) work, with minor modifications. Firstly, the “Owner

clearly defines scope” and “Owner makes timely decisions” indicators were shifted from team

characteristics to owner commitment. Since the team characteristics variable is intended to

aggregate all project team members, including designers, builders and owners, statements that

specifically reference one party would create an undesired weighting of the variable toward that

team member. Additionally, an owner’s ability to define scope and make timely decisions

appeared less of an intrinsic team characteristic and more the result of commitment to pre-project

planning and staffing decisions. Future research may find advantages in separating the single

team characteristics variable into multiple, more isolated variables unique to each team member

such as: designer characteristics and builder characteristics.

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Table 3-3: Independent project variables with proposed level of integration ranking

Independent Variable Integration Description Owner Commitment

Vision statement Contractually mandated energy performance or LEED rating

“Green” introduced during Conceptual/SD Strong belief in sustainable concepts Owner is driving force Owner clearly defines scope Owner makes timely decisions

High (6+)

Number of indicators found in highly committed project owners.

Medium (3-5)

Low (0-2)

Team Commitment

Incentive/penalty clauses in contract Architect and contractor design responsibility No blame culture Completed common goals/objectives Valued team feedback and opinions Equal treatment of participants

High (5+) Number of indicators found

within highly committed project teams of designers and contractors.

Medium (3-4) Low (0-2)

Team Characteristics

Experienced with similar projects High competency owner representative Compatible personalities Open communication Located in common/shared offices

High (5+) Number of indicators found

within highly integrated project teams of owners, architects and contractors.

Medium (3-4) Low (0-2)

Contractor Contract Type Cost Plus Fixed Fee High Structure of contractor

contract with owner or CM/GC.

GMP Medium Lump Sum, Unit Price Low

Project Delivery Method Integrated Project Delivery, Design-Build High Overall project delivery

selected by owner. CMR, CMA Medium Design-Bid-Build Low

Contractor Procurement Strategy Best Value, Pre-Qualification High Method or process of

contractor selection. Negotiated, Fixed Budget/Best Design Medium Low Bid, Sole Source Low

Contractor Design Integration Pre-Design, Conceptual (<10%) High Timing of contractor

involvement on project. Schematic, Design Development (<75%) Medium Construction Documents, Bidding (100%) Low

29

The team commitment variable was created to recognize the importance of incentive

alignment between designers and builders, by describing how team integration and shared

responsibility can result in achievement of common project goals. Commitment is strengthened

by several factors, including monetary and non-monetary recognition, a sense of ownership and

opportunities for personal development. The indicators for team commitment summarized in

Table 3-3 were primarily adapted from studies conducted by Baiden (2006), where the extent of

team integration on construction sites was explored and verified over ten common factors in

literature. Six factors were selected, prior to data collection, as relevant to describing the context

of team commitment in this case study comparison. Since team commitment was not a

previously defined variable or indicator in existing project-level metrics, this variable is

experimental and under development for future research.

3.4.2 Causal Analysis and Explanation-Building

The process of relating measured outcomes with project attributes, as mapped in Figure

3-2, involved the following steps: (1) identifying contextual case outcomes based on

commonalities found within the in-progress performance metrics, (2) brainstorming potential

causes for differences in contextual outcomes using fishbone diagrams, (3) sorting causal listing

by occurrence to identify unique factors found on only one case, (4) grouping of unique causal

factors with influencing project attributes and (5) relating contextual outcome differences with

influencing project attributes. Common project attributes and similar measured outcomes present

in both projects were discarded, as theoretically impacting project and building system

performance equally in both cases in a two-case comparison. This analysis methodology

proposed and attempted an analytical, process-based approach to understanding how project

attributes impact both project and building system-level outcomes.

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Figure 3-2: Map of data collection and data analysis process for case comparison

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3.5 Summary

The research goal was to understand how an integrated design and construction process,

which included early involvement of the mechanical contractor, impacted building system and

project performance. The study performed a comparative analysis of two similar hospital

construction projects, using the variable notation established by prior research. The data

collection process included a combination of onsite observation, multiple data sources, follow-up

correspondence and the creation of performance metrics to describe case outcomes. Data was

primarily obtained from project documents, including change order logs, schedules, RFIs, safety

reports, QA/QC logs and LEED paperwork. Once collected, the data analysis process involved a

causal analysis, sorting potential causes by case occurrence, linking causes with influencing

project attributes and finally relating the original contextual outcome differences with project

attributes to understand the contributions of an integrated process.

32

Chapter 4

DATA COLLECTION

4.1 Case Study Background

As discussed in Chapter 3, a nationally recognized mechanical contractor approached the

Penn State Department of Architectural Engineering with two new hospital projects, located in

the Northeastern United States. Both projects were purported to have certain similarities,

including facility size, type, location and sustainable goals, while differing in organizational

structure and mechanical design approach. Therefore, an exhaustive case study selection or

screening procedure was seemingly not necessary and not performed. Instead, the researcher

assumed the role of an independent evaluator, carefully reviewing project documents, comparing

performance metrics and attempting to understand their relationship to outcomes. However, prior

to gathering detailed project information, the researcher conducted a preliminary fact-finding

inquiry and vetting of both selected cases. Similar to a feasibility study, this early evaluation

tested the viability and worthiness of the offered cases for allowing an in-depth comparison. The

goals of the investigation included:

(1) Verify similarities in control variables: Building type, size, location and other

project-defining attributes that remain constant and either strengthen or weaken a

case comparison depending on their similarity.

(2) Confirm access to project data: Ease of obtaining project documents, meetings with

team members and permission to use case data for research purposes.

(3) Identify key team members: Project participants or stakeholders with detailed

knowledge of the design and construction processes, history and challenges of each

case.

The inherent strength of the comparative case study results from many similarities in the

control variables observed on both projects, which are highlighted throughout this chapter. For

instance, an early inspection of both cases revealed an unexpected and shared context surrounding

33

their construction, which involved the closing of an existing healthcare facility and dividing the

previously offered medical services between the Case A and Case B facilities.

4.1.1 Case A Overview

Case A was structured as a design-build (DB) delivery and contracted as a joint-venture

between a CM/GC and architecture firm. Prior to awarding the DB contract, the owner on Case

A engaged a separate designer to assist in program development and the creation of bridging

documents for the Request for Proposal (RFP) package. When awarded to contractors, the

architectural design was approximately 30% complete and MEP design was nearly 10%

complete. Despite using a design-build delivery method, the facade and many architectural

elements of Case A were predetermined by the surrounding buildings. The exterior design of

Case A was mandated to closely resemble nearby, existing buildings with historical significance,

which governed strict requirements for the number of floors, building elevation and orientation

and removed some control and flexibility from the design-build team. The anticipated total

construction cost for Case A was greater than $500-million at the time of data collection and

includes the following major phases:

• Phase 1 (> 500,000-ft2): New multistory facility, with combination of in-patient hospital

beds and out-patient clinic offices.

• Phase 2 (> 250,000-ft2): Renovation of existing hospital rooms to include state-of-the-

art medical equipment and services.

• Hospital-to-Clinic Gross Area Ratio: 1:3.4 (excluding renovation scope)

For simplification purposes, the Case A renovation scope is excluded from any case

study comparisons. Renovation projects typically include unforeseen or existing conditions and

extensive off-hour work, which precludes a direct comparison with the exclusively new

construction on Case B. Therefore, the Case A renovation scope in Phase 2 was carefully

separated and excluded from the collected data, leaving only the contributions from Phase 1.

34

4.1.2 Case B Overview

Case B was organized as a CM at risk delivery, with significant design and construction

overlap planned over the project duration. While contractors were not involved in design

activities until the RFP process, the architect was a multi-disciplinary firm, engaging in integrated

mechanical, electrical and structural design with in-house structural and MEP engineers. The

architectural design was nearly 40% complete and the MEP design at 25% complete when the

construction contract was awarded to the CM/GC. At the time of data collection, the project cost

of Case B was greater than $750-million and planned to deliver the following:

• Phase 1 (> 1,000,000-ft2): New, interconnected, multistory facility with a combination

of in-patient hospital space and out-patient clinic offices.

• Hospital-to-Clinic Gross Area Ratio: 1:1.7

According to the project team on Case B, the organizational structure used was described

as a modified design-bid-build approach, meaning that the traditional design-bid-build delivery of

separate design and construction contracts was supplemented with elements of early contractor

involvement. However, design-bid-build concept reported by the project team is functionally

identical to the accepted definition of a CM at risk organizational structure, which adds design

flexibility and schedule fast-tracking, without sacrificing owner control of the design. To avoid

potential confusion over the precise meaning of the modified design-bid-build approach, this

research will use CM at risk to describe the organizational structure of Case B.

4.2 Summary of Control Variables

The strength of conclusions drawn from comparative case studies arise from similarities in

the external environment, or control variables, which establish a reference point and reduce the

likelihood of alternate explanations for measured differences between projects. Rarely are one-

of-a-kind buildings comparable to each other in the construction industry; however, the generally

accepted variables for testing sameness include the following:

• Location impacts project outcomes primarily by dictating the availability of local and

skilled contractors, the types of systems used, the standard of care for designers and

various code or permitting requirements. From a design perspective, since few regional

35

requirements existed prior to LEED v3.0, certain credits are easier to obtain in less severe

or fluctuating climates. Additionally, some cities or jurisdictions offer incentives for

advancing sustainable building features.

• Project type refers to the differences inherent to the public and private sectors. Private

projects exhibit more variation in delivery, whereas public projects typically must adhere

to applicable statutes or directives that govern bidding, contract administration and other

functions of the construction process.

• Building size impacts economies of scale, the number of qualified contractors available to

bid and the amount of management or oversight needed for the project.

• The function of a building dictates how end-users will occupy and operate the facility.

There are common systems, materials, complexities and construction methods employed

on similar building types, which improve the validity of like-with-like comparisons.

• LEED certification represents the completion of sustainability goals, which establish the

design direction and performance of projects. As credit requirements become more

stringent with each revision, the separation grows drastically between a LEED-rated and

non LEED-rated facility. Since both projects were under construction during data

collection and not yet LEED certified, the target rating provided in the RFPs was used to

define this control variable.

Although not explicitly identified in prior research, the scope of work for the mechanical

contractor may also be considered a control variable for a building system-level analysis. In both

Case A and Case B, the contractor was responsible for all HVAC equipment, air distribution

systems, mechanical piping, control systems, insulation and commissioning. The mechanical

system designs on Case A and Case B differed in several aspects, including the percentage of

outdoor air, heat recovery methods and space control as discussed in additional detail in Chapter

5, but the design guidelines and codes followed are similar for all healthcare facilities.

Both cases display strong similarities in control variables as shown in Table 4-1, with the

exceptions of location and size of each facility. Since neither case location was included in the

R.S. Means 2010 location adjustment tables, values from the nearby cities were assumed for Case

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A and Case B. The percent difference between these location factors is less than 5%, which

indicates similar material and labor costs between projects. In reference to size, the Case B

project is nearly double the gross square-footage of Case A, which traditionally limits the

reasonableness of comparisons. However, cost estimating sources, such as R.S. Means, indicate

that significantly large healthcare projects above 192,500 square-feet show similarities in unitized

construction rates and system breakdowns.

Table 4-1: Summary of control variables for Case A and Case B

Project Location Type Function Size (ft2) LEED Certification

% Complete at Data Collection

Case A NE U.S. Public Hospital/Clinic > 500,000 Silver 90% Case B NE U.S. Public Hospital/Clinic > 1,000,000 Silver 75%

4.2.1 Validating Differences in Project Size

According to R.S. Means 2011 cost references, building size impacts the cost per square-

foot due to the decreasing contribution of exterior walls and economies of scale inherent in larger

projects. The calculation of a “size factor” is achieved by dividing the proposed or actual

building area by R.S. Means’ typical area for the building type. The result of this calculation is

summarized on Table 4-2, using the typical areas of 7,200-ft2 for clinics and 55,000-ft2 for

hospitals. With clinic size factors of 78 for Case A and 113 for Case B, both projects are

significantly larger than the mean medical office area collected by R.S. Means. Similarly, the

hospital size factors of 3 for Case A and 9 for Case B are many times larger than the mean

hospital area. The “cost multiplier” is obtained graphically, using the area conversion scale

provided by R.S. Means. However, since the size factors obtained in both cases are greater than

3.5 and asymptotically approaching a constant on the cost multiplier curve, R.S. Means

recommends using a cost multiplier of 0.90. Therefore, although the gross square-footage is

different between cases, the cost impacts for the variance in size are expected to be minimal.

Table 4-2: Calculated R.S. Means size factors and cost multipliers

Case A Case B R.S. Means Size Factor

R.S. Means Cost Multiplier

R.S. Means Size Factor

R.S. Means Cost Multiplier

Clinic 78 0.90* 113 0.90* Hospital 3 0.91 9 0.90*

* R.S. Means note: For Size Factors greater than 3.5, the Cost Multiplier is 0.90.

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4.2.2 Validating Differences in Clinic-to-Hospital Area Ratios

In addition to differences in gross square-footage, the clinic-to-hospital ratios are notably

dissimilar on both cases, which require further analysis to support the validity of comparison. As

shown previously in the case study overviews, Case A has a clinic-to-hospital gross area ratio of

3.4:1, compared with the Case B ratio of only 1.7:1 In other words, the Case A facility area is

distributed as three parts clinic to one part hospital, while the Case B facility is nearly two parts

clinic to one part hospital. To determine how this difference in area usage affects the cost of each

project, R.S. Means unit rates were consulted for Hospitals (4-8 Story) and Medical Offices

(Multistory). The high-end unit rates were selected from the R.S. Means square-foot estimate

tables to provide an upper limit, encompassing high-end finishes and methods of construction.

These rates where multiplied by the separate clinic and hospital areas on each case, rounded,

summed and then divided by the combined gross square-footage of the project. The result is an

overall building unit rate shown in Table 4.3, adjusted for the differences in clinic-to-hospital area

ratios. Using this methodology, the estimated unit costs of Case A and Case B are $261 and $263

per square-foot, respectively. As base R.S. Means rates, these values do not include site work,

general conditions, bonds, insurance or other additions commonly needed for construction.

However, two important conclusions are derived from the total combined unit rate in Table 4-3:

(1) the difference between the Case A and Case B unit costs are less than 5% and, (2) the

proportionally larger hospital area on Case B results in a higher unit cost than Case A. Based on

this estimate, the differences in clinic-to-hospital area ratios imply that similar cost per square-

foot rates should be encountered on both cases, with a potentially higher rate on Case B.

Table 4-3: Estimated project unit cost, adjusted for differences in use areas between cases

Hospital –to-Clinic Area Ratio

Estimated Unit Cost ($/ft2)*

Case A 1:3.4 $261 Case B 1:1.7 $263

*Calculated using R.S. Means and adjusting for differencing in hospital-to-clinic ratios

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4.3 Sources of Project Data

As established in Chapter 3, quantitative data was derived from a combination of project

documentation, onsite observation and informal discussions with key team members. Since both

projects were under construction and at differing stages of completion, a one-week duration

jobsite visit was performed for each case. The majority of data for Case A was collected over the

week of July 12-16, 2010. Case B data was obtained the following week, July 19-23, 2010. At

the time of data collection, Case A was approximately 93% complete and amid commissioning

and punch list activities on Building A and Building B. Construction at Case B was considerably

more active, with an approaching interim turnover date for two clinic buildings and tracking

towards 76% project completion. Following the initial compilation of case data into

spreadsheets, follow-up emails and phone calls were initiated to fill any gaps in information and

to confirm key dates or values.

4.3.1 Project Documentation

RFIs, change order logs, schedules, quality control reports, safety statistics and meeting

minutes were obtained from the party responsible for creating, updating and managing the project

document. For instance, mechanical contractor change order logs were obtained from the

mechanical contractor, while quality control reports originated from the design-build architect on

Case A and CM/GC on Case B. Approximately 50% of the project documentation was collected

in hardcopy format and 50% in electronic media, including spreadsheets and PDFs. Each

document was reviewed and sorted, as outlined in Chapter 3, to extract the specific information

needed to calculate the performance metrics. Where practical, variables were identified primarily

with project documentation, instead of team discussions or interviews, to avoid potential

researcher bias.

4.3.2 Site Observations

Some project variables are not directly measureable or quantitatively assessable.

Observational studies allowed the researcher to subjectively assess team interaction,

communication and culture within the day-to-day jobsite activities. Weekly coordination

meetings, which included safety, commissioning and construction topics, were the primary source

of observational data on both cases. During each meeting, the researcher was introduced as a

graduate student performing a case study on the project and, in all cases, was allowed to observe

39

the meeting participants. The observations noted during both jobsite visits are important in

defining the “team commitment” and “team characteristics” independent variables.

4.3.3 Semi-Structured Interviews

Similar to site observations, informal discussions with key team members were necessary

to describe the independent variables of “team commitment” and “team characteristics”. The

researcher approached each team member with a prepared list of questions with a semi-structured

interview approach, provided in Appendix B, but allowed the discussion to evolve with stories or

examples of team interaction. The goal of these discussions was not to obtain verbatim

transcripts or records, but rather to assist in characterizing each project team for the purposes of

case comparison.

4.4 Summary of Independent Project Variables

The combination of organizational structure, contract type, procurement strategy and

team elements form a set of independent project variables. Project delivery decisions impacts

processes, team interactions and methodologies, which remain relatively constant during the

design and construction of a facility. These interactions are discussed further in Chapter 5, when

building cause and effect relationships between the independent project variables and measured

outcomes on each case.

4.4.1 Contract Type, Organizational Structure, Procurement, Design Integration

The most influential delivery decisions suitable for consideration as independent project

variables, as suggested by Korkmaz (2010) and Chan (2002), include the following:

• The contract type defines the structure of compensation between the owner and GC/CM,

establishing incentive or penalty clauses and allocating risk between parties. Typical

contract types include cost plus fee (CPF), guaranteed maximum price (GMP), lump sum

(LS) and unit price (UP).

• The organizational structure, as selected by the owner, establishes the team hierarchy,

flow of information and service integration for the project. Choices include integrated

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project delivery (IPD), design-build (DB), construction manager at risk (CMR) and

agency (CMA), and design-bid-build (DBB).

• Procurement refers to the owner or GC/CM’s method of acquiring mechanical

contracting services. Typical method include best value (BV), pre-qualification (PQ),

negotiated (NE), best design (BD), low bid (LB) and sole source (SS).

• Design integration establishes a level for the earliest timing of mechanical contractor

involvement in the design process. This level does not attempt to quantify the

contribution as more beneficial or constructive, but rather indicates only when contractor

assistance was requested.

A summary of the project delivery variables is provided in Table 4-4. Despite similar

procurement strategies, the most significant differences between Case A and Case B are the

organizational structure, design integration and contract type. Therefore, the case comparison

will strive to understand how the combined effects of design-build with a lump sum contract

compare with a CM at risk and cost plus fee contract to delivering similar healthcare facilities.

Table 4-4: Summary of project delivery independent variables for Case A and Case B

Project Contract Type Organizational Structure Procurement Design Integration Case A Lump Sum Design-Build Best Value 30% Arch. / 10% MEP Case B Cost Plus Fee CM at Risk Best Value 40% Arch. / 25% MEP

4.4.2 Owner Commitment

Generally, “owner commitment” measures the dedication of the owner to implementing

sustainable concepts and providing clear direction on the project. Depending on the strength of

commitment, these “big picture” goals may or may not trickle down to the building system-level.

Prior research by Ling (2004) and Korkmaz (2010) revealed the owner’s instrumental role in

identifying sustainability goals during early design phases and offered several indicators to gauge

levels of commitment:

• A vision statement provides the inspiration and framework for planning the project. To

receive credit for this indicator, the statement must be included in the owner’s RFP

documentation to the GC/CM or mechanical contractor.

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• Contractual LEED requirements hold the mechanical contractor responsible for meeting

the sustainability goals of the building, typically under the energy performance

guidelines. The contractor must indicate a contract clause or scope inclusion holding

them liable for the performance of mechanical systems.

• Introducing LEED during the conceptual design or design development phases

increases the likelihood of sustainable concepts becoming fundamental to the project,

rather than a last minute add-on. Documentation must indicate that LEED requirements

were added prior to the schematic design phase of mechanical system design.

• A strong belief in sustainable concepts ensures that all aspects of the building, including

energy efficiency, materials, indoor air quality, water conservation and site usage are

treated or reviewed equally. Documentation must reveal a whole-building, lifecycle

approach to sustainable design, not lacking significantly in any LEED category.

• Having the owner as a driving force ensures that sustainable goals remain a high-priority

during design and construction. Projects must indicate, either by documentation of

responsibilities or meeting minutes, that the owner maintains high levels of involvement

in the sustainable design process.

The definition of owner commitment was derived primarily from the perspective of high-

performance green (HPG) buildings and does not necessarily include commitment to the project

cost or schedule goals. Previously included as criteria for the independent project variable of

“team characteristics”, the owner’s ability to define scope and make timely decisions are arguably

more indicative of commitment. For example, a clear project program or decision-making

procedure is less of an inherent owner characteristic and more a marker of strong commitment to

predetermined project goals. Therefore, as discussed in Chapter 3, this research expands on the

HPG definition of “owner commitment” to include the following indicators:

• An owner clearly defines scope by incorporating end-user feedback early in design and

communicating change directives without ambiguity. As the prime contract-holder with

the owner, the builder’s opinion was used to gauge the overall effectiveness of the owner

at defining project scope.

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• An owner making timely decisions ensures that the design process proceeds at pace with

construction and minimizes the likelihood of change orders causing significant

interruption. Similar to scope definition, the builder’s opinion was again requested to

qualify the owner’s ability to make decisions, without affecting the flow or progress of

work.

Table 4-5: Data sources for determining owner commitment

Documents Observation Semi-Structured Interview • Vision statement • Contractual LEED requirement • Introduced LEED during CD or

DD phases of design • Strong belief in sustainable

concepts • Owner is driving force

• Owner clearly defines scope • Owner makes timely

decisions

Project documents and semi-structured interviews were the primary source for

determining evidence of “owner commitment” indicators, as shown in Table 4-5. After

reviewing the RFP and mechanical contract documents, a summary of the findings was prepared

in Table 4-6, which reveals a distinct difference between the levels of owner commitment on each

project. A complete tabular version of the evidence is provided in Appendix B. Case A

demonstrated six of the seven indicators, whereas Case B received credit for two, lacking a vision

statement and contractual LEED requirement to the mechanical contractor. Additionally, the

Case B documents emphasized the architect’s role as the driver of sustainable concepts instead of

the owner. Perhaps due to hierarchies within large public owners, neither builder indicated that

owner decision-making was a timely process.

Table 4-6: Summary of owner commitment independent variable criteria

Criteria: Owner Commitment Case A Case B Vision statement Contractual LEED requirement Introduced LEED during CD/DD Strong belief in sustainable concepts Owner is driving force Owner clearly defines scope Owner makes timely decisions

Total indicators 6 2

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4.4.3 Team Commitment

As discussed in Chapter 3, the independent variable “team commitment” is based on the

number of integration indicators found and observed on each project. These indicators, as

summarized below, are statements or patterns indicative of highly committed project teams

adapted from Baiden (2006):

• Incentive clauses may appear as performance-based contractor award-fee or shared cost

savings recognized from exceeding specific schedule and budget targets. To receive

credit for this indicator, the mechanical contract must include a provision for

performance incentive, relating to the design and/or construction of HVAC systems.

• A shared architect and contractor design responsibility distributes a portion of the

system performance liability to the constructor, attempting to collectively manage and

appropriately share design risks. The mechanical contract must indicate a performance-

based liability to assist with or fully design a functional HVAC system.

• A “blame culture” is prevalent when the initial reaction to design problems is blaming

other team members as the source of the conflict, rather than accepting responsibility and

working towards a solution. An example of managing an unexpected jobsite problem or

design issue was used to assess the combined team atmosphere of owner, architect and

contractors.

• Completing common goals results from an awareness of broader project objectives and

commitment to working towards the best interest of the whole project, rather than any

individual stake. All team members must demonstrate, via example or documentation, a

group effort in achieving mechanical design goals.

• Valuing team feedback and opinions demonstrates a willingness to respect differing

ideas, weighing carefully the input of each participant without disparagement.

Observation of project meetings was used to subjectively assess if contractor opinions

were solicited and valued.

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• An equal treatment of team participants strengthens commitment by fostering an

atmosphere of cooperation. However, since many construction projects follow a tiered or

hierarchical contract structure, equal involvement of all parties is difficult to achieve in

practice.

Table 4-7: Data sources for determining team commitment

Documents Observation Semi-Structured Interview • Incentive clauses in contract • Shared architect &

contractor design responsibility

• Lack of “blame culture” • Valued team feedback &

opinions • Equal treatment of

participants

• Completed common goals

A combination of documents, site observation and team discussions were used to

determine the presence of team commitment indicators, as shown in Table 4-7. Simplifying the

tabular evidence in Appendix B, Table 4.8 provides a summary comparison of the indicators

found on both cases. Case A demonstrated a total of five indicators, including: a performance-

based award-fee program, mechanical contractor design liability, working towards common goals

and valuing of team feedback. Case B showed strength in only two areas, completing common

goals and valuing feedback from team members.

Table 4-8: Summary of team commitment independent variable criteia

Criteria: Team Commitment Case A Case B Incentive clauses in contract Shared architect & contractor design responsibility Lack of “blame culture” Completed common goals Valued team feedback & opinions Equal treatment of participants

Total indicators 4 2

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4.4.4 Team Characteristics

As the most subjective independent variable, “team characteristics” is an aggregate

assessment of the owner, builder, architect and mechanical contractor. The purpose was not to

determine an individual team member’s characteristics, but rather to view the team as a whole.

The following indicators are representative of highly functioning and highly integrated project

teams:

• Prior experience with similar projects allows teams to reuse old lessons and learn from

previous mistakes, improving the delivery of future projects. The prior work history of

the owner, architect, GC/CM and mechanical contractor must reveal projects of similar

size and type completed within the past 10-years.

• A high competency owner representative demonstrates familiarity with the design and

construction process, having both the available resources to manage contract

administration and the authority to make decisions.

• A team composed of compatible personalities typically results in smoother, less conflict-

driven interactions. This indicator was awarded based on meeting observations and

informal team discussions, which must reveal little or no evidence of problems caused by

conflicting personalities.

• Open communication is present when the free exchange ideas, objections and documents

are encouraged within teams. Observations of open team interactions and the presence of

web-based document management software were used as requirements for this indicator.

• Locating teams in shared or common offices improves collaboration by strategically

housing contractors, designers and the owner within the same workspace. A consolidated

layout of field offices was necessary to receive credit for this indicator.

46

Table 4-9: Data sources for determining team characteristics

Documents Observation Semi-Structured Interview • Compatible personalities

• Open communication • Located in shared/common

offices

• Experienced with similar projects

• High competency owner representative

• Owner clearly defines scope • Owner makes timely decisions

Indicators for “team characteristics” were either observed directly during jobsite visits or

revealed by example during discussion with key team members, as shown in Table 4-9. No

documentation was used to determine this variable. A full version of the evidence is provided in

Appendix B, but a summary in Table 4-10 illustrates how both cases have similar team

characteristics. Case A and Case B both received credit for four indicators. Both cases have an

owner, architect, builder and mechanical contractor team with prior experience on large facilities,

public work and clean room construction processes. The owners are highly competent, having

managed large-scale construction projects in the public sector. The interaction among team

members on both jobsites was generally amicable and information flow was open. The

researcher did not observe any specific instances of conflicting personalities, although strong

opinions were often presented during contractor meetings. Neither project used the concept of

collocation or shared offices for team members; however, the separate construction trailers were

conveniently connected with a boardwalk to encourage travel between offices.

Table 4-10: Summary of team characteristics independent variable criteria

Criteria: Team Characteristics Case A Case B Experienced with similar projects High competency owner representative Compatible personalities Open communication Located in shared/common offices

Total indicators 4 4

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4.5 Summary of Dependent Outcome Variables

Dependent outcome variables include schedule and cost growth, quantity of RFIs, quality

control reports, safety statistics, LEED points and energy performance. The remainder of Chapter

4 presents a “snapshot” of the project at the data collection date and includes calculations or

metrics based on the raw information gathered from project documents. Detailed tables, with raw

data prior to calculation, are not provided due to privacy requests by both case owners.

4.5.1 Schedule Growth

Schedule growth typically refers to the percentage difference between the planned and

actual project duration, from design start to final completion. Since this research specifically

focuses on contributions from the mechanical contractor, metrics for assessing overall design,

mechanical design and construction schedule growth were added to provide additional levels of

detail. Baseline and current construction schedules were obtained from the CM/GC to enable a

comparison between planned and actual durations. When not included on the construction

schedule, planned design deliverable milestones were obtained from the project owner. Actual

design completions were determined from the date on 100% Issued for Construction (IFC)

drawings provided to the project team. All duration calculations were based on calendar days,

without subtracting holidays, weather impacts or periods of low productivity. Where exact dates

were unavailable, the middle of the month was assumed for calculation purposes. For example, a

date listed as March 2009 was entered as March 15, 2009, thereby limiting the potential for error

to only fifteen days.

The results of the case study schedule analyses are provided in Table 4-11, with all

percent growth values rounded to the nearest 5% to protect the anonymity of both cases and

separated into categories of project, overall design, mechanical design and construction. No

schedule changes were measured on Case A in any category, whereas Case B experienced a range

of schedule growth between 25% at the project level and 55% for the mechanical system design.

To allow a fair comparison, accounting for differences in gross square-footage between cases,

durations were unitized or given on a per area basis. While the planned duration per area rates

are dramatically different on both cases, the actual duration per area rates show more similarity.

For instance, the planned mechanical design duration on Case A was 0.57 days per thousand

square-feet and remained nearly constant. However, the planned mechanical design duration on

Case B started at 0.35 days per thousand square-feet and escalated to 0.55 days per thousand

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square-feet. A similar occurrence is apparent in the planned and actual construction durations,

where Case B finished at 1.08 days per thousand square-feet, closer to Case A at 1.16 days per

thousand square-feet performance. In terms of actual construction time, Case B appears faster in

metrics of duration per inpatient bed, area installed per day and Cost of Work installed per month.

Table 4-11: Summary of schedule performance data for Case A and Case B

Project Schedule Calculations Case A Case B Project schedule growth 0% 25% Planned project duration per area (days/ksf) 1.85 1.09 Actual project duration per area (days/ksf) 1.83 1.36 Overall Design Schedule Calculations Case A Case B Design schedule growth 0% 30% Planned design duration per area (days/ksf) 1.22 0.59 Actual design duration per area (days/ksf) 1.19 0.75 Mechanical Design Schedule Calculations Case A Case B Mechanical design schedule growth 0% 55% Planned mech. design duration per area (days/ksf) 0.57 0.35 Actual mech. design duration per area (days/ksf) 0.57 0.55 Construction Schedule Calculations Case A Case B Construction schedule growth 0% 30% Planned construction duration per area (days/ksf) 1.18 0.81 Actual construction duration per area (days/ksf) 1.16 1.08 Construction duration per impatient bed (days/bed) 16.7 11.7 Area installed per day (ft2/day) 866 924 Cost of Work installed per month ($/30 days) $19,700,000 $20,800,000

4.5.2 Cost Growth

Cost growth measures the percentage difference between planned and actual project cost,

from initial contract signing to the final change order. However, since both cases were under

construction at the time of data collection, final contract values from the GC/CM and mechanical

contractor were not available. Instead, the most recent change order logs were used to estimate

the projected project and mechanical contractor cost at final completion. As discussed in Chapter

3, the change order logs were also examined to categorize the cause or initiator of changes to the

mechanical contract. To impose a fair comparison between a design-build and design-assist

delivery, the design contract for Case B was added to the construction contract value prior to

performing cost calculations. This addition ensures that the total project cost for both cases

includes both the design and construction costs of the facility. The results of the case study cost

analyses are provided in Table 4-12 and rounded to nearest whole values where appropriate.

Since a large proportion of the mechanical contractor change orders on Case A were attributed to

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award-fee incentives, values within parentheses in Table 4-12 have removed the award-fee

change orders.

Table 4-12: Summary of cost performance data for Case A and Case B

Planned Cost Case A Case B Planned project cost per bed ($/inpatient bed) $9,800,000 $5,700,000 Planned project cost per square foot ($/ft2) $675 $525 Planned mechanical construction cost per square foot ($/ft2) $150 $115 Actual / Anticipated Cost Case A Case B Anticipated project cost per bed ($/inpatient bed) $10,900,000 $8,100,000 Anticipated project cost per square foot ($/ft2) $760 $750 Anticipated mechanical construction cost per square foot ($/ft2) $160 $155 Cost Calculations Case A1 Case B Project cost growth 12% (10 %) 43% Mechanical contract cost growth 8% (6%) 34% Mechanical Change Order Calculations (by $ value) Case A1 Case B Percentage approved owner-initiated CORs 38% (54%) 76% Percentage approved contractor-initiated CORs 22% (31%) 6% Percentage approved unforeseen conditions CORs 10% (15%) 0 % Percentage approved design error CORs 0 % (0 %) 5% Percentage approved design omission CORs 0% (0 %) 13% Percentage approved award fee/incentive CORs 30% (0%) 0 %

1Percentages in parentheses are without award-fee changes issued to the mechanical contractor.

As discussed earlier in Chapter 4, despite differences in gross square footage and clinic-

to-hospital area ratios, the rough R.S. Means cost per square foot rates were predicted to be

similar for both facilities. However, the planned project unit costs of $675 per square foot on

Case A and $525 per square foot on Case B differ by nearly 30%. Potential reasons for the

difference in planned project unit rates could include any combination of variations in the scope

of site work, larger than expected economies of scale, completeness of bid documents at RFP, and

accuracy of estimates or evolution of the scope since initial project definition. Conversely, as

measured, the actual project unit costs of $760 per square foot on Case A and $750 per square

foot on Case B are more consistent with the difference predicted by the R.S. Means analysis,

adjusted for difference in clinic and hospital areas. The project cost growth corresponding to the

planned and actual unit rates on Case A and Case B are 12% and 43%, respectively. Notably, the

mechanical unit costs follow a similar pattern as the project unit costs, resulting in mechanical

cost growth values of 8% on Case A and 34% on Case B.

Review of the mechanical Change Order Requests (CORs) reveals differences in the

distribution of change orders on both case studies. The owner-initiated changes, typically

50

resulting from end-user modifications or upgrades, on Case A were nearly 40% of the total,

compared to approximately 75% on Case B. Case A claimed 20% of changes as contractor-

initiated and 10% from unforeseen conditions, compared to Case B’s 6% and 0% in the same

categories. From a design perspective, Case B showed slightly less than 20% of changes due to

errors and omissions, whereas Case A had no changes directly attributable to the completeness of

design. This result was expected due to the design-build delivery method on Case A, which

entrusts the HVAC design and construction responsibility to the mechanical contractor. Incentive

change order requests (CORs) on Case A accounted for nearly 30% by value of the total change

orders issued to the mechanical contractor. While not always considered a cost of the work,

incentive plans are costs incurred by the owner to encourage and reward contractor performance.

Therefore, the award fee was deemed an important management tool and all costs in Table 4-12

include incentives unless noted otherwise. No award fee or incentive program was present on

Case B.

4.5.3 Requests for Information

The quantity of Requests for Information (RFIs) on Case B was significantly higher than

Case A, as shown in Table 4-13. The calculations were based on the total number of RFIs issued

by the GC/CM to the owner, designer or outside consultant and total number of RFIs associated

with HVAC systems and the mechanical contractor. The data does not include internalized RFIs

between the mechanical contractor and GC/CM in the case of design-build delivery. Therefore,

the quantity of RFIs on Case A is expected to be lower. Since the purpose of RFIs is to clarify

the intention of the contract drawings and specifications, they were not sorted into any specific

categories, other than a separation of mechanical-related RFIs. When unitized by gross square

footage and anticipated project cost, the difference in quantity of RFIs was nearly double, as

evidenced by comparing Case A at 1.69 RFIs per thousand square feet and 2.23 RFIs per million

dollars with Case B at 3.03 RFIs per thousand square feet and 4.23 RFIs per million dollars.

When normalized for actual construction duration, the difference in RFIs was almost triple, with

Case A at 0.99 RFIs per day and Case B at 2.92 RFIs per day. Perhaps a result of design-build

delivery, the percentage of mechanical RFIs was slightly under 5% on Case A and approximately

15% on Case B.

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Table 4-13: Summary of RFI data for Case A and Case B

RFI Calculations Case A Case B Project RFIs per thousand square feet (RFI/ksf) 1.69 3.03 Project RFIs per million dollars of anticipated project cost (RFI/$) 2.23 4.23 Project RFIs per day of construction duration (RFI/day) 0.99 2.92 Percentage of mechanical RFIs to total project RFIs 5% 16%

4.5.4 Quality Control Reports

Despite differing management responsibility of the quality control (QC) logs, the actual

process of generating, tracking and approving QC issues was similar between cases. On Case A,

the design-build architect, as contracted with the GC/CM, performed all QC administration. On

Case B, the GC/CM directly managed QC, adding any items noted by the architect during

inspections or walkthroughs. Both cases presented similar appearing logs, individual reports and

a plan for managing non-compliance. The award fee program on Case A listed quality

compliance as a condition of success and was subject to review at quarterly intervals.

Unfortunately, both cases allowed work-to-complete and punch list reports to become

intertwined with the normal QC and quality assurance (QA) logs. Work-to-complete reports

track partially complete or incomplete contract scope, whereas punch lists include mostly defects

or discrepancies related to completed scope. Although the quality control logs were not sorted by

category, a number of non-quality issues were observed while tallying the quantity of mechanical

reports. Frequently during phased construction projects, the distinction between poor quality and

incomplete work becomes blurred, especially when contractors are working in multiple areas

simultaneously. For instance, is a missing pipe weld a sign of poor quality or simply incomplete

work? This inconsistency in documenting quality control issues makes drawing conclusions

based on project QA/QC performance difficult and somewhat speculative. Nevertheless, a

summary of the quality control report data is provided in Table 4-14.

Table 4-14: Summary of quality control and quality assurance data

QC/QA Calculations Case A Case B Project QC reports per thousand square feet (QC/ksf) 1.02 0.65 Percentage of "Open" QC reports to project total 6% 33% Percentage of mechanical QC reports to project total 9% 19%

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The unitized metric for QC/QA shows fewer QC reports on Case B at 0.65 reports per

thousand square feet, compared with Case A at 1.02 reports per thousand square feet. When

considered with the observed, but not quantified addition of work-to-complete and punch list

items, the difference in project completion at the time of data collection may be partially

responsible for low number of reported quality issues on Case B. Of the total QC reports, Case B

demonstrated a higher percentage of “open” or unresolved quality concerns and a higher

percentage of mechanical-related QC issues.

4.5.5 Safety Reports

Both cases demonstrated similar safety programs, with slight differences in transparency,

but the Case A case has fewer recorded incidents in OSHA’s safety metrics of Recordable

Incident Rate (RIR) and Lost Time Case Rate (LTC). The calculation results from the collected

safety statistics are listed in Table 4-15. Both the project RIR of 3.74 and mechanical contractor

RIR of 4.60 were nearly three times greater on Case B , when compared to Case A’s project RIR

of 0.97 and mechanical contractor RIR of 1.65. The differences in LTC are also significant, with

Case B showing a rate of 0.53 and Case A at a much lower rate of 0.08. The correlation between

project and mechanical contractor safety performance appears strong, since the percentage of

mechanical work hours was similar or approximately 20% of the total work hours on both cases.

Table 4-15: Summary of safety data for Case A and Case B

Safety Calculations Case A Case B Project OSHA recordable incident rate (RIR) 0.97 3.74 Mechanical contractor OSHA recordable incident rate (RIR) 1.65 4.60 Project OSHA lost time case rate (LTC) 0.08 0.53 Percentage of mech. contractor work-hours to project work-hours 20% 23% Reportable mech. incidents per month of construction (incident/30 days) 0.16 0.67

4.5.6 LEED Scorecard and Energy Performance

Both projects demonstrated considerable improvement over the planned LEED goals, as

communicated to contractors during the RFP and bidding phases. Original RFP documents listed

LEED Certified as the minimum rating, which was quickly increased to LEED Silver as a result

of successful presentations from contractor and designer teams during the RFP selection

interviews. The most recent LEED scorecard data, representative of the documentation submitted

to USGBC for certification is summarized in Table 4-16 and shows both cases as seeking LEED

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Gold rating. Both cases followed LEED-NC version 2.2. The percentage breakdown of LEED

categories is also included in Table 4-16, with notable differences in Sustainable Sites, Water

Efficiency and Energy & Atmosphere, which may indicate differing priorities for the design

teams on each project.

Table 4-16: Summary of LEED and energy data for Case A and Case B

LEED Scorecard Case A Case B Total points claimed in LEED submission 41 40 Anticipated LEED rating Gold Gold LEED Calculations (%, No. of Points) Case A1 Case B1 Percentage of Sustainable Sites points to total points 24% (10) 30% (12) Percentage of Water Efficiency points to total points 10% (4) 5% (2) Percentage of Energy & Atmosphere points to total points 17 % (7) 10% (4) Percentage of Materials & Resources points to total points 12% (5) 13% (5) Percentage of Indoor Environmental Quality points to total points 27% (11) 30% (12) Percentage of Innovation & Design Process points to total points 10% (4) 12% (5)

1 Numbers in parentheses are LEED category point totals

Since the focus of this research was the mechanical contractor, specific attention was

given to the energy modeling results and LEED categories of Energy and Atmosphere and Indoor

Environmental Quality. On Case A, energy modeling was performed in-house by the mechanical

contractor and made entirely available to the researcher. However, modeling on Case B was

performed by a third-party consultant hired by the architect and was never completely shared

during data collection. Therefore, the only data found within the modeling results provided on

both cases shown in Table 4-17 and includes the predicted yearly energy savings and percent

improvement over EPAct 2005 regulations. The predicted yearly energy savings on Case A and

Case B differ by approximately 20%, which could be the result of local energy rates or the types

of primary and secondary fuels assumed during modeling. Without the detailed energy model

information on Case B, any further assessment remains speculative. The savings difference

becomes more significant when considered over the gross square footage of each facility, with

Case A claiming a yearly savings of $0.87 per square foot against Case B’s $0.38 per square foot.

Despite differences in predicted savings, both cases show nearly a 30% reduction in energy usage

for EPAct 2005 regulations. The Energy Policy Act of 2005 (EPAct 2005) requires new public

facilities to reduce building energy intensity by 2% each year beginning in 2005, up to a

cumulative maximum of 20% in 2015. The EPAct 2005 energy intensity is measured in BTU per

gross square foot and the reduction is compared against a baseline created in 2003.

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The energy savings implied in LEED EA Credit 1 does not correspond with the EPAct

2005 percentages. EA Credit 1 is a variable point credit, which awards more points for higher

percent improvement over the ASHRAE 90.1-2004 baseline. As shown in Table 4-17, Case A

claims 6 points and corresponds to a 28% savings, whereas Case B claims 2 points or a 14%

savings. Since the percent savings for EA Credit 1 is based on predicted energy cost, instead of

energy intensity, these values validate the energy model reports, which forecasted Case A with

approximately double the energy cost savings per square foot. Additionally, the LEED method of

calculating energy improvement on a cost basis is less sensitive to reductions in non-mechanical

or HVAC energy users, such as lighting or office equipment. For instance, reducing the wattage

of corridor lighting directly and immediately lowers the energy intensity of the building, but may

not contribute significant energy cost savings if electricity is inexpensive relative to primary

fuels.

Table 4-17: Summary of energy modeling results and energy performance

Energy Model Results Case A Case B Predicted yearly energy savings per square foot ($/ft2) $0.87 $0.38 Energy intensity reduction for EPAct 2005 regulations 31% 27%

LEED-NC 2.2 Energy & Atmosphere Case A Case B Credit 1: Optimize Energy Performance 6 2

Energy cost savings compared to ASHRAE 90.1 baseline 28% 14% Credit 2: On-Site Renewable Energy --- --- Credit 3: Enhanced Commissioning --- 1 Credit 4: Enhanced Refrigerant Management 1 1 Credit 5: Measurement & Verification --- --- Credit 6: Green Power --- ---

LEED-NC 2.2 Indoor Environmental Quality Case A Case B Credit 1: Outdoor Air Delivery Monitoring 1 1 Credit 2: Increased Ventilation 1 --- 1Credit 3: Construction IAQ Management Plan 2 2 1Credit 4: Low-Emitting Materials 4 4 Credit 5: Indoor Chemical & Pollutant Source Control 1 1 Credit 6.1: Controllability of Systems, Lighting 1 1 Credit 6.2: Controllability of Systems, Thermal Comfort --- 1 Credit 7.1: Thermal Comfort, Design 1 1 Credit 7.2: Thermal Comfort, Verification --- 1 Credit 8.1: Daylight & Views, Daylight 75% of Spaces --- --- Credit 8.2: Daylight & Views, Views for 90% of Spaces --- ---

1 IEQ subcategories for Credit 3 and Credit 4 are condensed for simplicity

The IEQ category breakdown in Table 4-17 also highlights differences in the HVAC

systems on each case. The mechanical design on Case A was based on a 100% outdoor air

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condition, allowing the team to easily collect IEQ Credit 2 for increased ventilation. Alternately,

the Case B design emphasized a 3-duct, variable air volume (VAV) distribution to many patient

rooms, which enabled the team to claim IEQ Credit 6.2 for controllability of thermal comfort.

The Case B team also elected to pursue IEQ Credit 3 for enhanced commissioning and IEQ

Credit 7.2 for verification of thermal comfort, which do not directly result in HVAC energy

savings, but may improve system efficiency over the long term.

4.6 Summary

This chapter presented detailed in-process metric data for Case A and Case B, collected from

multiple sources including project documents, jobsite observations and semi-structured

interviews. The following differences in dependent outcome variables were highlighted:

• Schedule growth on Case A measured effectively 0% for project duration, overall design,

mechanical design and construction duration. Measured schedule growth on Case B of

25% for project duration, 30% for overall design, 55% for mechanical design and 30%

for construction duration.

• Cost growth on Case A measured 8% for mechanical contractor cost and 12% for project

cost. Measured cost growth on Case B of 34% for mechanical contractor cost and 43%

for project cost.

• Measured 45% fewer project RFIs and 85% fewer mechanical-related RFIs per unit area

on Case A, when compared against Case B. Case A calculated 1.69 project RFIs and

0.08 mechanical-related RFIs per square-foot, compared to 3.03 project RFIs and 0.49

mechanical-related RFIs per square-foot on Case B

• Reported safety incidents were nearly three-times lower on Case A, when compared to

Case B. The calculated RIR on Case A was 0.97 for the project and 1.65 for the

mechanical contractor, compared to 3.74 for the project and 4.6 for the mechanical

contractor on Case B.

• Both Case A and Case B have submitted for LEED Gold rating, but show slight

differences in point focus. With differences of at least two points, Case A achieved more

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points in Energy & Atmosphere and Water Efficiency categories, whereas Case B

claimed more points in Sustainable Sites. The categories of Indoor Environmental

Quality and Innovation & Design Process differed by a single point in both Case A and

Case B.

• Case A claims six points in LEED credit EA 1, which translates into a projected energy

savings over the ASHRAE 90.1 baseline (by cost) of at least 28%. Case B claims two

points for the same credit, indicating a 14% energy savings by cost.

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Chapter 5

DATA ANALYSIS AND DISCUSSION

As discussed in Chapter 3, previous project delivery research used statistics and

regression models to match one or more process indicators with a specific outcome, effectively

addressing what variables are important in higher performance buildings, but not directly

explaining how or why these relationships work. The discussion topics presented within this

chapter use explanation-building techniques to explore the multifaceted outcome and project

attribute relationships within the contexts of Case A and Case B.

5.1 Identifying Differences in Project Attributes

Reviewing the data in Chapter 4, Case A and Case B differ clearly in four of the seven

defined independent project variables. Summarized in Table 5-1, the organizational structure,

contract type, owner commitment and team commitment variables were selected for further

analysis and relationship considerations with measured outcomes. The procurement strategy and

team characteristic variables were seemingly similar between Case A and Case B. A best value

procurement strategy was used on both cases during the RFP process and the project team

characteristics showed comparable composition and prior experience, similarities which limit the

usefulness of these variables in a causal case study analysis. The design integration variable

indicates a different timing of contractor involvement, with Case B finishing an additional 10% to

15% of the architectural and MEP design before the RFP process. However, upon consideration

of the case context, the “design integration” variable does not appear truly independent. In

experimentation, a variable should only be considered independent when it is isolated from

changes in other independent variables. Design integration cannot stand alone and is

fundamentally impacted by the organizational structure, contract type and procurement strategy

on a project. For instance, design integration indicating very early contractor involvement is

typically not possible when paired with design-bid-build delivery or a hard bid procurement

process. Therefore, this comparative case study will not consider design integration as an

independent variable, but will discuss the impacts and potential of early involvement arising from

several delivery decisions.

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Table 5-1: Selection of independent project variables for further analysis

Independent Project Variable Case A Case B Organizational Structure Design-Build CM at Risk Contract Type Lump Sum Cost-Plus

Procurement Strategy Best Value Best Value Owner Commitment 6 2 Team Commitment 4 2

Team Characteristics 4 4 Design Integration 30% Arch. / 10% MEP 40% Arch. / 25% MEP

5.2 Identifying Outcome Differences

Presented with an overwhelming amount of quantitative data describing the outcomes of

Case A and Case B, the researcher initially narrowed the scope of redundant data by identifying

recurring themes or commonalities within project and building system-level outcomes. For

instance, as shown in Table 5-2, four cost metrics, three RFI metrics and the distribution of

mechanical contractor change orders support a more generalized outcome of "cost predictability".

This grouping process quickly distilled over thirty metrics into four apparent contextual outcomes

that describe project and building system performance: cost predictability, schedule predictability,

building energy performance and jobsite safety.

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Table 5-2: Grouping of case study outcome metrics into contextual outcomes

Dependent Outcome Variable Metrics Contextual Outcome

Cost of work installed per month ($/30 days) Planned/actual cost per bed ($/bed) Project cost growth (%) Mechanical contract cost growth (%) Mechanical change order distribution by category (%) Project RFIs per area (RFI/ksf) Project RFIs per million dollars of project cost (RFI/$) Percentage of mechanical-rated RFIs (%)

Cost predictability

Project schedule growth (%) Overall design schedule growth (%) Mechanical design schedule growth (%) Construction schedule growth (%) Planned/actual project duration per area (days/ksf) Planned/actual design duration per area (days/ksf) Planned/actual mech. design duration per area (days/ksf) Planned/actual construction duration per area (days/ksf) Area installed per day (ft2/day) Project RFIs per day of construction duration (RFI/day) Project QC reports per area (QC/ksf) Percentage of “open” QC reports to total (%) Percentage of mechanical-related QC reports to total (%)

Schedule predictability

Total points claimed in LEED submission Anticipated LEED rating Predicted yearly energy savings ($) Predicted yearly energy savings per area ($/ft2) EPAct 2005 energy intensity reduction (%) Points claimed for LEED EA Credit 1 Energy cost savings compared to ASHRAE 90.1 baseline (%)

Building energy performance

Project OSHA recordable incident rate (RIR) Project OSHA lost time case rate (LTC) Mechanical contractor OSHA recordable incident rate (RIR) Recordable mechanical-related incidents per month of

construction (incident/30 days) Percentage of mechanical contractor work-hours to total

project work-hours (%)

Jobsite safety

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When viewed as a whole, the preponderance of measured dependent outcome variables

presented in Chapter 4 strongly indicates differences in project-level and building system-level

cost and schedule predictability between Case A and Case B. Additionally, Case A and Case B

show notable differences in the mechanical system performance and predicted building energy

savings by cost, despite submitting for similar LEED certifications. Other notable differences in

safety and RFI outcome metrics were observed, but featured less prominently. Therefore, the

discussion in Chapter 5 will focus primarily on understanding the relationships linking

independent project variables of organizational structure, contract type, owner commitment and

team commitment with differences in predictability, energy savings and safety outcomes.

5.3 Understanding Cost and Schedule Predictability Outcomes

The following sections discuss the contextual importance of predictability on Case A and

Case B, methods for measuring predictability using percent growth and percent difference, and

reviewing the evidence supporting greater cost and schedule predictability on Case A.

5.3.1 Value of Predictability on Projects

The results indicate that Case B was both less expensive per square-foot and shorter in

duration per square-foot, despite showing fewer indicators of design integration. However, Case

B did experience significant cost and schedule escalation, leading to a less predictable project.

To assist in planning and financing decisions, many owners desire both accuracy and precision

during the design and construction process. In research terms, accuracy is the closeness of

measured outcomes to their “true” or actual value, whereas precision is the consistency of

measured outcomes after repeated measurements. In construction terms, accuracy and precision

become apparent when comparing the initial cost and schedule estimates to the final value and

duration of the project. Excluding significant additions to scope, highly accurate and precise

projects would display fewer changes in contract value and construction duration, which also

makes them highly predictable. Predictability allows healthcare owners to make informed

decisions during construction, which may include managing cash flow, scheduling delivery of

medical equipment and relocation of personnel for occupancy. Especially for the public owners

on Case A and Case B, cost predictability is essential in securing the correct amount of funding.

Since opening both the Case A and Case B facilities requires the closing and consolidation of

another medical center, schedule predictability is explicitly important to each case.

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5.3.2 Method for Comparing Predictability

As method of comparison, both percent difference and percent growth calculations are

used to assess the cost and schedule performance on both cases. The percent difference is the

absolute difference between two numbers as a percent of one number, as explained in Equation 5-

1. Unlike percent growth, which compares an old value with a new value as shown in Equation

5-2, the percent difference calculation allows comparisons of two independent measurements of

the same type. For simplicity, percent difference is exclusively used for external comparisons or

one case with another case, while percent change is used only for internal comparisons within a

single case. A low percent difference indicates similarity in the outcomes between cases, whereas

percent growth measures the change in magnitude of an outcome within a single case.

Equation 5-1: Percent difference

Equation 5-2: Percent growth

5.3.3 Evidence of Cost Predictability

Despite a significantly larger percent cost growth, Case B exhibited a lower final or

actual unit cost than measured on Case A. This result was unexpected, as on comparable

projects, the case with larger cost growth would intuitively result in a higher unit cost.

Additionally, prior research frequently implies that design-build deliveries result in lower costs,

which is not supported by this data. As shown in Table 5-3, the planned project unit cost and

planned mechanical system unit cost on Case B are lower and show a 25% difference from Case

A at the start of each project. Without considering the final or actual unit costs, there are many

potential explanations for this difference, including the possibility that Case B benefited more

from economies of scale, utilized fewer high-end finishes, specified a less expensive mechanical

system, underestimated the project scope or obtained more competitive pricing. However, the

similar percent difference of only 1% for the final project unit cost and 3% for the final

mechanical system cost indicate that some process or management differences dissolved the

% Diff =x1 – x2

(x1 + x2) / 2x 100

% Growth =x2 – x1

x1x 100

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initial cost advantage held by the Case B case. When considered together with the percent

difference in planned and final unit costs, the lower percent change in cost on Case A indicates

greater cost predictability. In other words, the owners on Case B expected a $526 per square foot

facility at contract award, but were ultimately subject to 43% cost growth and a final unit cost of

$750 per square foot. Conversely, the owners on Case A expected to pay $679 per square foot

compared to a final unit cost of $758 per square foot, an increase of 12% and yet within 1% of the

final unit cost on Case B.

Table 5-3: Project and mechanical system unit cost comparison with percent difference

Project Unit Costs Case A Case B % Diff. Planned project cost per square foot ($/ft2) $675 $525 25% Actual project cost per square foot ($/ft2) $760 $750 1%

% Growth 12% 43% Mechanical System Unit Costs Case A Case B % Diff. Planned mechanical construction cost per square foot ($/ft2) $150 $115 24% Actual mechanical construction cost per square foot ($/ft2) $160 $155 3%

% Growth 8% 34%

Although the project change order logs for either Case A or Case B were not made

available during data collection, the breakdown of mechanical contractor change orders provides

some insight into the sources of cost growth. The categorization of mechanical change orders, if

assumed representative of the project change orders, indicates a larger quantity of owner scope

additions and design corrections occurring on Case B. From Table 5-4, the combination of 38%

difference in owner-initiated CORs and 18% difference in design errors and omissions strongly

suggests that the scope of Case B was comparatively under-defined at the start of construction,

resulting in more design changes and more frequent drawing updates. Removing the award-fee

incentive CORs, which constitute a large portion of the Case A mechanical change orders, the

difference in owner-initiated changes becomes less drastic, but still significant. The difference in

owner-initiated CORs, as identified in parentheses in Table 5-2, drops to 22% while the design

COR categories remain the same at 18%.

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Table 5-4: Percentage breakdown of mechanical contractor change orders with percent difference

Mechanical System Change Orders (by $ value) Case A1 Case B Diff.1 Percentage approved owner-initiated CORs 38% (54%) 76 % 38% (22%) Percentage approved contractor-initiated CORs 22% (31%) 6% 16% (25%) Percentage approved unforeseen conditions CORs 10% (15%) 0% 10% (15%) Percentage approved design error CORs 0% (0%) 5% 5% (5%) Percentage approved design omission CORs 0% (0%) 13% 13% (13%) Percentage approved award fee/incentive CORs 30% (0%) 0% 30% (0%) 1Percentages in parentheses are without award-fee changes issued to the mechanical contractor.

5.3.4 Evidence of Schedule Predictability

On the basis of final or actual unit duration, Case B installed more square-footage in less

time than measured on Case A. Similar to cost performance, this result was unexpected for a

design-bid-build project, which research typically portrays as progressing more slowly than a

fast-tracked or design-build delivery. As shown in Table 5-5, the planned schedule for Case B

ranges from 37% to 70% more aggressive than Case A, in units of planned days per thousand

square foot of building area. The faster planned delivery on Case B may have resulted from

repetitions in design on larger size projects, more overlap of construction activities or

underestimation of durations and work scope. While faster than Case A in unitized terms, the

Case B case incurred significant schedule growth in all categories, resulting in poor schedule

predictability during construction.

Table 5-5: Schedule unit durations with percent difference

Project Overall Unit Duration Case A Case B % Diff. Planned project duration per area (days/ksf) 1.85 1.09 52% Actual project duration per area (days/ksf) 1.83 1.36 29%

% Growth -1% 25% Project Design Unit Duration Case A Case B Planned design duration per area (days/ksf) 1.22 0.59 70% Actual design duration per area (days/ksf) 1.19 0.75 45%

% Growth -2% 27% Project Construction Unit Duration Case A Case B Planned construction duration per area (days/ksf) 1.18 0.81 37% Actual construction duration per area (days/ksf) 1.16 1.08 7%

% Growth -2% 33% Mechanical System Design Unit Duration Case A Case B Planned mech. design duration per area (days/ksf) 0.57 0.35 48% Actual mech. design duration per area (days/ksf) 0.57 0.55 4%

% Growth 0% 57%

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5.4 Determining Cause and Effect for Predictability Outcomes

Since this research uses an analytical, rather than statistical, approach to understanding

relationships, strong causal inferences are needed between independent project variables and

outcomes. However, independent project variables, such as organizational structure or contract

type, often impact differing or multiple aspects of design and construction processes. For

example, is a design-build organizational structure, a lump sum contract or high owner

commitment responsible for lower cost growth? The answer could involve all, none or some

combination of these variables. Therefore, an Ishkawa or “fishbone” diagram structure is useful

to logically brainstorm various causes of improved cost and schedule predictability. Cause and

effect mapping serves three main purposes: to look beyond symptoms to the root cause, provide

structure to cause identification and ensure that no major ideas are overlooked. Frequently used

in lean manufacturing, a fishbone diagram is created using the following methodology adapted

from the Six Sigma quality management tool (Pyzdek & Keller 2010):

(1) Identify the problem or effect under investigation;

(2) Select major categories for causes, relevant to the problem or effect;

(3) Identify detailed causes, asking “why?” the effect is occurring; and

(4) Review the diagram for completeness and eliminate unlikely causes.

Using “Improved Cost Predictability” and “Improved Schedule Predictability” as the

observed outcomes, two fishbone diagrams were created to identify potential causal relationships

in major categories of process, team and tools. As defined, the process category encompasses the

methods, techniques and procedures used in defining and managing the project. The team

category includes the characteristics and actions of the design and construction team. Finally, the

tools category captures any software or management tools that assist teams in completing a task.

Included in Appendix D, these fishbone diagrams serve to consolidate and graphically illustrate

potential causes contributing to predictability on both cases.

5.4.1 Identification of Unique Causal Factors Impacting Predictability Outcomes

To categorize the listing of potential causes derived from the causal diagramming effort,

a tabular matrix was generated to sort the factors by case occurrence, as shown in Table 5-5 for

cost predictability and Table 5-6 for schedule predictability. The purpose of this categorization

was to identify unique factors on Case A or Case B, which contributed to the measured

65

performance difference in cost and schedule predictability outcomes. Factors common to both

Case A and Case B are less suitable for comparison because they theoretically contribute equally

to the outcomes on both cases and therefore not relevant to a two-case discussion.

Table 5-6: Causal factors impacting cost predictability, by case occurrence

Causal Factors Impacting Cost Predictability Case A Case B Vertical orientation of design and construction teams X Contractor ability to influence and implement design decisions X Contractor financially liable for combined design and construction X Owner conveyed and enforced cost goals with project team X Owner was able to clearly define scope X Highly complete project program at RFP and contract award X End-user feedback received after start of construction X X Unpredictable design changes required rework to work-in-place X Cost reimbursable contract offered limited cost control X

Table 5-7: Causal factors impacting schedule predictability, by case occurrence

Causal Factors Impacting Schedule Predictability Case A Case B Contractor control of design schedule and construction sequence X Contractual incentive program rewarding performance and timely X Used online document management software for sharing drawings X Team made timely decisions to resolve issues X Similar delivery speeds of overall design and construction X Low percent design completion at RFP and contract award X X Contractor feedback on design provided prior to start of construction X X Owner-initiated design changes interrupted the progress of construction X

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5.4.2 Identification of Influencing Project Attributes on Causal Factors

After identifying unique causal factors contributing to the measured cost and schedule

predictability outcomes, the researcher attempted to discern the influencing project attributes that

enabled, initiated or resulted in each causal factor. Since no prior research attempted this type of

categorization, a matrix format was selected to plot causal factors against the four project

attribute differences between Case A and Case B: organizational structure, contract type, owner

commitment and team commitment. The resulting matrix is summarized in Table 5-8.

Determination of influencing project attributes were made based on literature review and guiding

questions, similar to the following:

• What project attribute(s) dictates the orientation of design and construction teams?

• What project attribute(s) enables the contractor to make and implement design decisions?

• What project attribute(s) illustrate that timely decisions were made by the teams?

Table 5-8: Sorted causal factors for predictability, by influencing project attribute

Org

aniz

atio

nal S

truc

ture

Con

trac

t Typ

e

Ow

ner

Com

mitm

ent

Tea

m C

omm

itmen

t

Case Causal Factors Impacting Cost and Schedule Predictability

Cos

t

A Vertical orientation of design and construction teams A Contractor ability to influence and implement design decisions A Contractor financially liable for combined design and construction performance A Owner conveyed and enforced cost goals with project team A Owner was able to clearly define scope A Highly complete project program at RFP and contract award B Unpredictable design changes required rework to work-in-place B Cost reimbursable contract offered limited cost control

Sche

dule

A Contractor control of design schedule and construction sequence A Contractual incentive program rewarding performance and timely completion A Used online document management software for sharing drawings A Team made timely decisions to resolve issues A Similar delivery speeds of overall design and construction B Owner-initiated design changes interrupted the progress of construction

67

5.5 Relating Project Attributes to Predictability Outcomes

Using the unique causal factors impacting predictability and several influencing project

attribute relationships, the four differences in independent project variables can be linked with

predictability outcomes, as shown graphically in Figure 5-1. There is evidence supporting

organizational structure, contract type and owner commitment as factors impacting the cost

predictability of a project. Additionally, the organizational structure and team commitment

appear to contribute to schedule predictability. A discussion is provided for each arrow,

explaining the rationale and relevancy behind the connection. Where arrows were not drawn

between independent project variables and predictability outcomes, the comparative case study

data was inadequate to support the relationship. The absence of a connection arrow does not

preclude the existence of a relationship, but merely signifies the relationship was inconclusive or

only weakly supported based on the data collected on Case A and Case B.

Figure 5-1: Independent project variable relationships with predictability outcomes

Cost Predictability

Schedule Predictability

1

2

34

5

Organizational StructureCase A Case B

Design-Build CM at Risk

Contract TypeCase A Case B

Lump Sum Cost Plus Fee

Owner Commitment1

Case A Case B6 2

Team Commitment2

Case A Case B4 2

1 Owner commitment based on number of observed criteria (max = 7, min = 0)2 Team commitment based on number of observed criteria (max = 6, min = 0)

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5.5.1 Organizational Structure → Cost Predictability

Within a design-build organizational structure, the vertical integration of mechanical

contractor and mechanical designer under the CM/GC results in lower transaction costs.

Expanding the economic definition to the construction industry, direct and indirect transaction

costs can arise from information exchanges, as well as monetary exchanges. For example,

response and review time, price negotiation and coordination effort are all examples of

transaction costs associated with a change directive. Vertically integrated supply chains, such as

the design-build organization on Case A, streamline these types of information exchanges and

reduce their cost impact. Because of the organizational separation of the contractor and designer

on Case B, the transaction costs were inherently higher. Transactions costs logically increase

when team members are located offsite, usage of communication tools are limited or team

incentives are misaligned. However, high transaction costs do not always translate into poor cost

predictability. In a project with few information exchanges between the contractor and designer,

high transaction costs may remain insignificant when compared against the overall project value.

On Case B, the high number of owner-initiated change orders and design revisions required

constant communication between the CM/GC and architect, which magnified the cumulative

effect of high transaction costs. The number of wasteful hours increases rapidly and can result in

a significant cost impact.

To illustrate the differences in transaction costs between cases, the mechanical contractor

was asked to describe an unexpected change or conflict during construction that included a

typical team interaction and resolution. The results of this request are summarized in the

following examples:

Example A: During the week of observation on Case A, start-up testing on the emergency

generator revealed a design flaw with the muffler wall penetration. While

operational, heat from the muffler transferred through the penetrated precast wall,

causing plywood on the interior face to begin smoldering. Meetings between the

mechanical and electrical contractors, design-build architect and CM/GC were held

onsite to determine the cause and revisit the insulation specified for the muffler.

Within two days, the team issued a revised penetration detail and no modification

to the contract value was required or requested.

1

69

Example B: The mechanical engineer under the architect on Case B designed a fan coil unit for

an exterior stairwell. During construction, a roof hatch was added by the owner to

the stairwell, which conflicted with location and ducting of the fan coil unit.

Installation of the unit was delayed, while RFIs from the mechanical contractor and

CM/GC were issued, reviewed and discussed with offsite architects. From the

identification of the problem to the eventual resolution, the team waited nearly ten

months and relocated the majority of sprinklers, chilled water pipe and ductwork in

the stairwell at added cost for the owner.

According to the Case B team, Example B was admittedly an extreme case and the

process extended longer than normal. However, the differences in transaction costs remain

evident in the manner that information flowed between the design and construction teams. The

vertical integration on Case A gave the mechanical contractor more autonomy and control in

resolving conflicts without adding additional cost to the project.

Beyond anecdotal evidence, the presence of increased transaction costs and inefficiencies

that accompany change directives are also found in actual cost reports from the mechanical

contractor. As discussed previously, a large number of owner-initiated and design-oriented

change orders were issued to the mechanical contractor on Case B, increasing the cost of the

HVAC construction package from $115 per square-foot to $155 per square-foot. Figure 5-2

presents actual cost data, separated into major categories, as a percentage of the total mechanical

contractor construction cost or work. This additional analysis compiled the mechanical

contractor cost codes into categories of subcontractors, general conditions, HVAC materials,

HVAC equipment, coordination labor, project management labor, shop labor and field labor.

Costs associated with engineering and design labor were intentionally omitted from this analysis,

since the scope of these services varied significantly between cases and would skew the

remaining categories. Notable differences are apparent in field labor, which account for 38% of

total costs on Case A and 42% on Case B. The HVAC equipment costs on Case A are 4% higher

than Case B, indicative of the higher expected first cost of the system. Higher material costs for

Case B somewhat reduce the lower first cost advantage, as evidenced by the combined HVAC

materials and equipment category costs of 48% of the total for Case A and 45% for Case B.

However, Case A also subcontracted a slightly larger scope of work (by cost), which may

partially account for lower field labor and HVAC material costs. Assuming a portion of the field

labor on Case A is purchased under the subcontract category, a difference of 2-3% would remain

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and may be attributable to less productive rework for the large number of change orders and

design revisions on Case B. Similarly, the differences in general condition costs reflect on the

significant schedule growth on Case B and need for additional administration to manage change

directives. Conservatively, the transaction costs on Case B could total between 4-6% of the total

mechanical contractor work package. In other words, upwards of $6 to $9 per square-foot of the

$155 per square-foot system cost on Case B may be attributable to non-productive work,

including rework, administration and general conditions expenses.

Figure 5-2: Case comparison of mechanical contractor construction costs

Figure 5-3 illustrates differences in cost allocation between mechanical contractor’s

general conditions on Case A and Case B. The team on Case A spent comparably more project

management and coordination labor hours than Case B, with fewer jobsite expenses. Several

factors could influence this distribution of general conditions costs, including the possibility of

design-build requiring additional management time from the mechanical contractor and the

longer duration on Case B increasing jobsite expenses.

Field Labor, 38%

Field Labor, 42%

0% 25% 50% 75% 100%

Case A

Case B

Percentage of Total General Conditions Cost (%)

HVAC Equipment, 19%

HVAC Equipment, 15%

HVAC Materials, 19%

HVAC Materials, 20%

Subcontracted Work, 20%

Subcontracted Work, 17%

Shop Labor, 5%

Cost Allocation for Mechanical Contractor Construction Scope (excludes design/engineering services)

Shop Labor, 5%

71

Figure 5-3: Case comparison of mechanical contractor general conditions

5.5.2 Organizational Structure → Schedule Predictability

Organizational structures that shift design responsibilities to the contractor can

benefit from better alignment of design deliverables with the construction schedule. Under more

horizontally integrated structures, such as design-bid-build or CM at risk, the architect is

traditionally commissioned to provide design packages according to a predetermined list of

milestones. These design packages are often self-contained and furnished for each phase of

construction. On Case B, the design deliverables were initially planned for issuance every two to

three months and included "Site Grading & Utilities", "Foundations", "Building Envelope",

"MEP Core & Shell", "Interior Fit-out" and "Lobby Finishes". These packages are sequenced

very linearly, with seemingly clear delineation between content. However, where should the

contractor expect the under-slab plumbing design? Borrowing from lean manufacturing

terminology, the traditional delivery of design packages typically lacks the "pull" dynamic. In

other words, the progression of design is not always driven by downstream pull from

construction, but is instead frequently pushed by the next deliverable milestone. A contractor

may receive drawings not needed for many months, while simultaneously lacking a portion of the

design needed currently. Granting the contractor both design and construction responsibility, as

found on the design-build organization on Case A, incentivizes the timing and content of design

deliverables to match construction activities. A vertically integrated organizational structure does

not guarantee or inherently improve this alignment, but rather allows the construction team to

assist in planning design deliverables.

Project Management, 42%

Project Management, 33%

Coordination, 39%

Coordination, 35%

Jobsite Expenses, 19%

Jobsite Expenses, 32%

0% 25% 50% 75% 100%

Case A

Case B

Percentage of Total General Conditions Cost (%)

Cost Allocation for Mechanical Contractor General Conditions

2

72

To illustrate how contractor design responsibility may have improved the construction

schedule flow on Case A, project timelines were created from schedule data on both cases, as

shown in Figure 5-4. A series of milestones, relevant to the overall project and mechanical

design processes, were selected as points of comparison and included: design start, RFP issued to

contractor, mechanical design start, 10% mechanical design, 65% mechanical design, design

completion, construction groundbreaking and final completion. Similarly, a listing of design

processes, identified by the project teams during discussions, were collected and plotted along the

timeline. These design processes are not intended to be inclusive of all activities performed by

the architect or mechanical contractor, and only represent the researcher’s attempt to narrow the

scope to activities commonly associated with integrated teams. The process list includes: energy

model creation, end-user feedback session, design charrette, award-fee evaluation, lifecycle

analysis submission, constructability review, shop drawing coordination and LEED

documentation submission. Visually, Case A and Case B share similar overlapping activities,

with the design duration stretching to nearly the midpoint of construction. Significant design and

construction overlap is expected in the design-build organization on Case A, but a similar overlap

was also observed in CM at risk on Case B. The extended duration of design activities was

unplanned on Case B and likely a factor in extending the construction duration nearly one year

beyond the planned turnover date.

73

Figure 5-4: Timeline comparison of Case A and Case B with notations

0% 25% 50% 75% 100%

Pre-Design

Design

Mechanical Design

Construction

A

D 2 3

1

8

B

C

F

G H

E

Case A: Design-Build

4 4

4

5 7

4

Design

Mechanical Design

Construction

A

8

B

C

F

G H

6 6 66 7

D

E

0% 25% 50% 75% 100%

13

Case B: CM at Risk

Mechanical Contract Issued

Planned Duration

Actual Duration

Milestone Process Marker

Symbols

Data Collection

Project MilestonesA : Design startB : RFP issued to contractorC : Mechanical design startD : 10% mechanical designE : 65% mechanical designF : Design completionG : Construction groundbreakingH : Final completion

Design Process1 : Energy model performed2 : End-user feedback session3 : Design charrettes4 : Award-fee evaluation5 : Lifecycle analysis submitted6 : Constructability review7 : Shop coordination8 : LEED documentation submitted

74

To identify differences in the occurrences of activities, a timing table was created to

determine the project percent complete for the milestones and design activities identified on the

timelines. The results of this analysis are summarized in Table 5-9. Unless noted otherwise, the

timings were calculated by dividing the difference in project milestone or design process date and

design start date by the actual project duration in days. Notable project milestone differences

include the start of mechanical design, 10% mechanical design and construction groundbreaking.

The CM at risk delivery on Case B allowed the architect and engineers to begin the mechanical

design prior to contracting with the mechanical contractor. However, the construction on Case B

also started very early at 20% of project completion, compared with Case A at 35% of project

completion. On Case B, the CM/GC was provided design package milestones by the owner

based on commitments from the architect to allow simultaneous work on the hospital and clinic

buildings. However, due to changes and some design delays, the schedule became more linear

with less overlap of buildings, which directly extended the duration of construction. Notable

design process differences include the timing of charrettes and submission of LEED

documentation. On Case B, design charrettes were conducted early at 5% project completion

with the owner, but without contractor involvement. Conversely, Case A held charrettes after the

design-build team was selected and included the mechanical, electrical and fire protection

contractors. The submission of final LEED documentation occurred at 65% project completion

on Case A, earlier than Case B at 80% project completion. While there is no method of

comparison between cases for some design processes, the award fee evaluations on Case B were

performed at approximately 20% intervals and the constructability reviews on Case B were

requested approximately two months prior to issuing IFC packages or at 5% intervals.

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Table 5-9: Timing comparison table for milestones and selected design processes

Project Milestones Case A Case B Design start 0% 0 % RFP issued to contractors 15% 10% Mechanical design start 25% 5% 10% mechanical design 30% 10% 65% mechanical design 45% 40% Design completion 65% 55% Construction groundbreaking 35% 20% Final completion 100% 100%

Design Process Case A Case B Energy model performed 25% 25% End-user feedback session 35% --- Design charrette 40% 5% Award-fee evaluation #1 40% --- Award-fee evaluation #2 65% --- Award-fee evaluation #3 85% --- Award-fee evaluation #4 100% --- Lifecycle analysis submitted 40% --- Constructability review #1 --- 25% Constructability review #2 --- 30% Constructability review #3 --- 40% Constructability review #4 --- 45% Shop coordination 45% 40% LEED documentation submitted 65% 80%

Since fine granularity of schedule data was not available to compare the exact timing of

design packages with ongoing construction activities, a delivery speed metric can provide insight

into the overall alignment design and construction. Figure 5-5 uses the delivery speeds of the

planned and actual project-level overall design and construction phases to create a simplified

linear balance schedule, comparing production units of square-feet against the project duration in

days. The delivery speed for each phase was calculated by dividing the total square-footage of

the facility by the actual duration of the phase, creating a linear or average rate. In both phases,

Case B shows slightly faster delivery speeds than Case A, but longer durations. Differences

become more apparent when considering the overall design and construction phases on a single

case, where alignment on Case A is evidenced by similar delivery speeds. The overall design

speed of 839 square-feet per day on Case A closely matches the construction speed of 865 square-

feet per day. Conversely, Case B shows an overall design speed of 1,339 square-feet per day,

much faster than the construction speed of 921 square-feet per day. It is unclear whether the

differences in these Case B delivery speeds are the result of design acceleration to support an

early start of construction or a sign that design efforts continued beyond the IFC drawings and

therefore not captured in this analysis. As evidenced by the shaded regions in Figure 5-4, Case B

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overestimated the rate of design, leading to poor schedule predictability. Interestingly, despite the

difference in planned and actual overall design rates, the construction start on Case B was not

shifted or delayed. Conversely, the nearly identical overall design and construction speeds on

Case A seem to have resulted in improved schedule predictability, since the shaded regions are

very small. Projects with notable differences in delivery speeds, as in Case B, have a higher risk

of one phase outpacing, delaying or otherwise impacting the schedule of another phase.

Figure 5-5: Case comparison of linear project-level design and construction rates

Incr

easin

g Pro

ject C

omple

tion (

ft2 )

Increasing Project Duration (days)

Case Comparison of Project-Level Design & Construction Rates

Case B: Planned Overall Design(1,708 ft2/day)

Case B: ActualOverall Design(1,339 ft2/day)

Case B: ActualConstruction(921 ft2/day)

Case B: Planned Construction

(1,213 ft2/day)

Case A:Planned / Actual

Construction(850-865 ft2/day)

Case A:Planned / Actual Overall Design

(816-839 ft2/day)

77

As shown in Figure 5-6, the mechanical building system-level design and construction

speed on Case B show poor schedule predictability, when compared against Case A. Case B

mechanical design progressed at an actual rate of 1,818 square-feet per day, decreasing from the

planned rate of 2,838 square-feet per day. Similarly, the mechanical construction phase actually

delivered 1,067 square-feet per day, down from the planned 1,484 square-feet per day. The

actual and planned speeds of the same phases on Case A were nearly identical, due to the lack of

measured schedule growth. The actual design and construction delivery speeds, or slopes of the

solid lines in Figure 5-5, at the mechanical building system-level are very similar between Case A

and Case B, with a maximum differences of approximately 150 square-feet per day. However, on

Case A, the mechanical design starts much later than Case B and mechanical construction starts

comparatively earlier. Mobilizing for construction at earlier stages of mechanical design

indicates confidence in the mechanical contractor on Case A to deliver appropriate design

packages, paced with construction activities. In traditional organizational structures, where

contractors and designers are separate entities, there is a strong inclination to work independently,

optimizing their own deliverables and work progress. Increasing the vertical integration of teams,

which can be achieved by shifting design responsibility to the contractor, encourages a

predictable schedule that provides the right amount of design at the right time in construction.

78

Figure 5-6: Case comparison project completion by duration, with delivery speeds

5.5.3 Contract Type → Cost Predictability

The prime and mechanical contracts on Case B were not incentivized for cost

control. As defined by the CM/GC agreement, the contract type on Case B is a fixed-price

incentive contract with successive targets to be paid on a cost-reimbursable basis. Despite the

somewhat lengthy description, this contract most closely matches the accepted definition of cost-

plus fee. During the award process, the successful contractor establishes an initial target cost,

Incr

easin

g Pro

ject C

omple

tion (

ft2 )

Increasing Project Duration (days)

Case Comparison of Contractor-Level Design & Construction Rates

Case B: Planned Mech. Design(2,838 ft2/day)

Case B: ActualMech. Design(1,818 ft2/day)

Case B: ActualMech. Constr.(1,067 ft2/day)

Case B: Planned Mech. Constr.(1,484 ft2/day)

Case A:Planned / Actual

Mech. Constr.(895-913 ft2/day)

Case A:Planned / Actual

Mech. Design(1,758 ft2/day)

3

79

initial target profit or fee and price ceiling with the owner. Monthly payment applications from

the contractor are then paid on a cost-reimbursable basis. Significant management or supervision

is typically required from the owner to verify contractor material invoices and labor hours, as the

payment process is self-auditing. At some production point during construction, typically

between 85% and 100% construction documents, a firm fixed price is negotiated to effectively

convert the contract into a lump sum. The incentive portion of the contract takes effect if the

negotiated firm fixed price is less than the ceiling price, which increases the contractor's fee by

5% of the difference. Since this type of incentive considers only final cost, it becomes less

effective in rewarding process performance. Because of flow-down relationships within the

prime contract language, the MEP contractors were working under the same cost-plus

arrangement as the CM/GC. These limitations became apparent on Case B, where numerous

owner-initiated changes and design corrections created an ambiguous target cost, leaving the

owner with significant cost risk and no contractual means of incentivizing productivity. Three

attempts converting the cost-plus contract into a lump sum were conducted by the owner to

establish a final project cost. The first attempt occurred at 80% design completion and the

remaining two attempts occurred after 100% “Issued for Construction” drawings were distributed

to contractors. Whether these attempts represented a true effort to convert into a lump sum

arrangement or were only a means of obtaining some confidence amid several scope revisions,

they indicate a lack of cost predictability in the cost-plus contract on Case B.

The consolidation of design and construction responsibility under a design-build

contractor can reduce the owner’s cost risk of signing a lump sum contract at earlier stages of

design. In traditional organizational structures, a lump sum contract shifts nearly all cost risk to

the owner by requiring a highly accurate and complete design prior contract award. However, the

mechanical design on Case A was only 10% complete prior to awarding the lump sum design-

build contract. Despite a very preliminary HVAC system description, the design-build

mechanical contractor completed the project with only 8% cost growth. Conversely, as shown in

Figure 5-7, the cost-plus contract on Case B was executed at 25% mechanical design completion,

but currently anticipates a much larger 34% cost growth. This difference in cost predictability

appears at least partially influenced by the contract type on each case, along with the incentives it

creates within a specific organizational structure. Without any modifications to the initial scope,

the design-build contractor must operate below the lump sum amount or assume liability for any

cost overruns, providing a strong incentive to control costs. The owner is effectively protected

from error and omission claims because the contractor is wholly responsible for the design,

80

installation and performance of the system or building. Design errors and omissions on design-

build projects are not significantly lower than design-bid-build organizational structures, but the

subsequent rework or correction costs are absorbed internally by the contractor in lump sum

arrangements, rather than becoming the responsibility of the owner.

Figure 5-7: Percent design completion with percent cost growth, project and mechanical

5.5.4 Owner Commitment → Cost Predictability

The completeness of RFP and program documentation was a contributing factor in

cost predictability, providing a clear basis of design and statement of goals for the design-build

contractor on Case A. Since the owner commitment variable is primarily defined by the owner’s

ability to establish goals and become a driving force on the project, the quality of RFP

documentation becomes an early indicator of commitment. The RFP on Case A included a copy

of the owner program, which including project objective headings such as “Mission Statement”,

“Sustainable Design” and “Energy Conservation”. At the time of issuance to contractors, the

owner program was approximately 90% complete. Taken as a whole, the combined RFP and

owner program on Case A primarily emphasize the performance of the facility. The RFP on Case

B did not share the owner program with contractors and documentation was highly focused on the

Case A: Mechanical, 10%, 8%

Case B: Mechanical, 25%, 34%

Case A: Project, 42%, 12%

Case B: Project, 32%, 43%

0%

10%

20%

30%

40%

50%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Cost

Gro

wth (

%)

Design Completion at Award (%)

Case Comparison of Design Completion at Award vs. Cost Growth

DB + LS

DB + LS

CMR + CP

CMR + CP

4

81

occupants of the facility, including evidence-based design recommendations, sustainable material

selection and integration of technology.

When implementing change orders or design revisions on Case B, the direction provided

to contractors was often "Do it now, we'll fix it later". This method of integrating changes

seemed especially detrimental to the cost-plus contract on Case B, where the contractor liability is

minimal and rework directly increases the cost of the project. While a successful short-term

tactic in meeting specific schedule goals, this type of leadership increases the amount of rework,

leading to higher costs and long-term coordination issues. For example, ceiling coordination

drawings revealed limited access for a number of VAV terminal units on Case B. To avoid

delays, the mechanical contractor was instructed to give a “best effort” in increasing the clearance

around controller boxes on the VAV units. Nearly one year later and while performing a

walkthrough, the owner was dissatisfied with some instances of limited access on VAV units and

re-defined the minimum acceptable clearance, which required many modifications to piping and

conduit routes near the controller boxes. By fostering a “Do it now, we’ll fix it later” jobsite

atmosphere, the owner implies that cost control is not a primary concern for the project.

5.5.5 Team Commitment → Schedule Predictability

The formalized award-fee incentive program on Case A strengthened the

commitment of contractors and designers to a timely project completion by rewarding the

achievement of intermediate milestones. No contractual incentive program existed on Case B,

beyond a potential shared savings if the final cost was less than the owner’s ceiling price. Prior to

contracting with the design-builder, the owner on Case A established a written award-fee plan,

which set aside 3% of base contract value as an incentive pool. According to the plan, “the

award-fee pool is a fixed amount and not subject to variances of the work or changes made to the

changes clause of the contract”. Additionally, the “award-fee determinations are not subject to

the dispute clause of the contract”. These statements ensure that no additional incentive is

provided for change orders and no management time is wasted on disputes. Award-fee is “paid

for performance above and beyond contractual requirements” in the categories of safety, quality

control, project management, design submissions, early transition and early completion. These

categories, as shown in Figure 5-8, were given varying amounts of award-fee for distribution,

presumably based on their importance to the owner. Since the completion of Case A and Case B

are required to relocate existing medical services from an existing hospital facility, a timely

5

82

turnover was a key project goal for both owners. When combining the early completion and early

transition categories, nearly 44% of the available award-fee was committed to incentivizing a

timely project completion.

Figure 5-8: Case A award-fee distribution by category

The assessment and distribution of award-fee on Case A was planned over four periods,

intended to align with major design deliverables or construction milestones. As shown in Figure

5-9, Period 1 and Period 4 included construction groundbreaking, early turnover or final

completion of the facility, while Periods 2 and 3 served as intermediate design and construction

evaluations. Clearly, the design-build team on Case A was given a strong financial motivation to

control schedule growth and remain committed to the contract turnover dates.

0% 5% 10% 15% 20% 25% 30% 35% 40%

Case A: Award-Fee Distribution by Categories

Quality Control

Early Transition

Design Submissions

Project Construction Management

Safety

Early Completion

83

Figure 5-9: Percentage of Case A award-fee pool available at each period

5.6 HVAC Building System Performance Outcomes

As discussed in Chapter 4, both case studies share similar control variables of project

location, type, function and LEED certification level, which strengthen conclusions drawn at the

project-level. However, this research is also focused on relationships at the building system-

level, exploring differences in the type and delivery of mechanical systems. Since Case A and

Case B facilities included a combination of acute and ambulatory services, the HVAC designs

were concerned with air movement restrictions, higher percentages of outdoor air ventilation,

infection control and stringent temperature, humidity and pressurization controls. Following the

same ASHRAE design guidelines for healthcare buildings, but likely a differing set of priorities,

the engineers on Case A and Case B arrived at separate solutions for the mechanical systems. A

comparison of the mechanical systems between cases provides evidence that earlier involvement

of the mechanical contractor adds value and predictability in the design of HVAC systems.

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1 2 3 4

Perc

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Awar

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Award-Fee Period

Case A: Award-Fee Distribution by Period

Cumulative

Per Period

Early Completion

Early Transition

Design Submissions

Project Construction Management

Quality Control

Safety

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While both cases fulfilled ASHRAE guidelines, the differences in indoor air quality

(IAQ), expected maintenance costs and yearly energy savings show greater value in the Case A

design approach. As summarized in Table 5-10, Case A opted for a 100% outdoor air design,

with enthalpy wheels for heat recovery and a constant-air-volume (CAV) system. Due to

architectural requirements, a large central mechanical room was located in the basement of the

Case A facility. For comparison purposes, the average single-patient room on Case B received

290-CFM of supply air, composed of 72% return air and 28% percent outdoor air. To overcome

the energy burden of exhausting all supply air, enthalpy wheels were first recommended by the

design-build mechanical contractor on Case A during the proposal phase. Although requiring a

higher first cost equipment investment, the addition of enthalpy wheels enabled the designers to

achieve energy savings goals without sacrificing IAQ in patient rooms. The Case B design was

more traditional and emphasized occupant controls, using a variable-air-volume (VAV) system

with decentralized mechanical rooms on each floor of the facility. While the VAV units allow

more customized control of temperature and humidity within patient rooms, the mixing of return

and supply air does not provide the same IAQ levels found in the Case A system.

According to the online ASHRAE Service Life and Maintenance Database, the average

replacement schedule for CAV and VAV systems are 35-years and 30-years, respectively. No

service life averages are currently available for enthalpy wheels due to the relative newness of the

technology in building applications, but initial reports indicate that enthalpy wheels often require

special and regular maintenance attention. Compared to a 100% outdoor air design, which

includes only supply and exhaust duct, the VAV system on Case B requires an additional

operable air valve on the return duct to achieve positive pressurization in many hospital spaces.

From a maintenance perspective, this extra valve is an additional failure point, which may

become costly to repair or replace with a large number of equipped VAV units. Without

historical data on the replacement schedule for enthalpy wheels, it is difficult to directly compare

the maintenance burden between Case A and Case B. However, the mechanical design of Case A

does possess fewer failure points on patient floors due to the CAV system, which may reduce

maintenance costs over the lifecycle of the facility.

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Table 5-10: Mechanical system description and maintenance information by case

Mechanical System Case A Case B

Summary

100% outdoor air 2-duct CAV system Heat recovery chillers Enthalpy wheel Centralized air distribution

3-duct VAV system Heat recovery chillers Decentralized air distribution

Maintenance

35-year replacement on CAV No ASHRAE data on

replacement of enthalpy wheels; requires special attention

30-year replacement on VAV Return ducts require VAV

controls to achieve positive pressurization, results in twice the number of operable air valves

Advantages / Disadvantages

+ IAQ and infection control - Higher first cost of equipment - Increases fan power for enthalpy

wheel and central mechanical

+ Higher degree of individual control in patient rooms

- Complicated commissioning - More frequent maintenance of

VAVs

As shown on Table 5-11, the predicted energy savings, by cost and intensity, indicate

higher performance from the mechanical system on Case A. LEED EA Credit 1 awards points

based on the percent improvement in energy savings by cost over an ASHRAE 90.1 baseline.

According to the LEED submissions, Case A claimed 6-points in EA Credit 1, which corresponds

to a 28% to 31.5% improvement, whereas Case B could only claim 2-points or a 14% to 17.5%

savings. Despite a clear difference in ASHRAE 90.1 improvement, the energy reduction for

EPAct 2005 was more similar between cases at 31% for Case A and 27% for Case B. EPAct

2005 requires all public facilities in the U.S. to reduce energy intensity (BTU/ft2) by 2% per year,

up to a cumulative maximum of 30% in 2015. Since the EPAct 2005 regulation is based on

energy intensity, where lighting systems have a proportionally high and direct impact, the

measure is undependable in comparing the performance of mechanical systems. Therefore, the

owner on Case A can expect higher yearly savings on building energy costs of approximately

$0.87 per square-foot, compared to $0.38 per square-foot on Case B. Overall, the energy

outcomes on Case B were still significant and the facility achieved many sustainable goals in

water conservation and daylighting; however, Case A is predicting higher energy savings at

roughly the same project unit cost as Case B.

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Table 5-11: Building energy performance and cost savings by case

Building Energy Performance Case A Case B LEED NC v2.2 EA Credit 1 Points 6 2 % Improvement over ASHRAE 90.1 (by cost) 28% - 31.5% 14% - 17.5% Predicted yearly energy savings per square foot ($/ft2) $0.87 $0.38 % Reduction in Energy Intensity for EPAct 2005 31% 27%

Construction Cost Case A Case B Planned unit cost ($/ft2) $148 $116 Actual unit cost ($/ft2) $160 $155

5.7 Jobsite Safety Outcomes

As a primary concern in the construction industry, jobsite safety is the responsibility of

members on the project team including the owner, designer and contractors. Construction

activities account for nearly 19% of all workplace fatalities, the largest percentage of any industry

sector (U.S. Bureau of Labor Statistics 2010) and many projects often only consider hazard

management during the construction phase. From process considerations in design to daily

planning during construction, project teams have an obligation to ensure a safe work environment

and educate workers on safe jobsite practices. Therefore, a more holistic view or awareness of

safety risks, during the design and planning phases, may improve safety outcomes. Safety reports

were collected from both the mechanical contractor and CM/GC on Case A and Case B to

determine their OSHA recordable incident rates. The goal of documenting safety performance on

these case studies is to determine if early contractor design involvement reduces the likelihood of

injury or improves awareness of construction safety risks.

Despite similar jobsite safety programs managed by the CM/GC and mechanical

contractor, Case A and Case B showed notable differences in the number of recordable incidents.

The Occupational Safety and Health Administration (OSHA) consider an accident recordable if

the injury “resulted in death, days away from work, restricted work or transfer to another job,

medical treatment beyond first aid or loss of consciousness”. Using OSHA’s Recordable Incident

Rate (RIR) metric as a basis for comparison, the safety performance on Case A and Case B are

summarized in Figure 5-10. Lower numbers indicate fewer incidents in relation to the total

number of hours worked. As a percentage of total project work-hours, the mechanical

contractor’s time onsite accounted for 20% on Case A and 23% on Case B. At both the project-

level and mechanical contractor work, Case B recorded nearly three times the number of

incidents occurring on Case A. Both cases were below the industry average RIR, which

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according to the U.S. Bureau of Labor Statistics in 2008, was 4.7 in the construction industry

across all establishments. Comparable to the schedule and cost results, safety performance at the

mechanical contractor-level appears strongly relatable to the project-level outcomes on Case A

and Case B.

Figure 5-10: Safety performance comparison between Case A and Case B

Many factors have the potential for influencing safety performance, including

information control, personnel training, supervision and design quality. Since the project teams

on Case A and Case B showed similar characteristics, in terms of prior experience, safety

programs and Experience Modification Rates (EMR), the differing levels of contractor

involvement in design may have a role in safety outcomes. On Case A, the mechanical contractor

was responsible for designing and building a functional HVAC system, meeting the initial

performance criteria defined in the owner program and RFP documentation. Because of the well-

defined program and fixed scope of work, the mechanical contractor on Case A was given a

proactive opportunity to plan an effective work flow. Conversely, on Case B the mechanical

contractor was only given design-assist and construction responsibilities, which included

constructability reviews prior to drawing package issuance, accessibility reviews and estimating

services. While remaining in control of the construction processes, the contractor on Case B had

little impact on the overall HVAC system design beyond constructability recommendations,

0.97

1.65

3.74

4.60

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1.0

2.0

3.0

4.0

5.0

6.0

1 2Project OSHA Recordable Incident Rate (RIR)

Mechanical Contractor OSHA Recordable Incident Rate (RIR)

Case A

Case B

Case A

Case B

Construction Industry Average

(DB)

(CMR)

(DB)

(CMR)

Case Comparison of OSHA Safety Performance

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which were not always accepted by the architect or engineers. Impacted by design changes

beyond their control, the mechanical contractor on Case B was burdened by a more reactive

installation. On Case A, the performance specifications provide more flexibility to the

mechanical contractor in customizing or tailoring the HVAC system to match available field

labor experience, preferred means and methods and knowledge with an efficient design. In other

words, the design responsibility awarded to design-build contractors could result in the selection

of systems or materials that are both more familiar to the contractor and in accordance with the

owner program. Familiarity or previous experience with the design-builder’s chosen HVAC

system and installation techniques could reduce the likelihood of jobsite accidents by raising

awareness and developing best practices over a series of successful projects.

5.8 Summary

Chapter 5 identified, sorted and discussed several causal relationships, linking project

attributes impacted by design involvement from the mechanical contractor, with both project and

building system-level outcomes. Major contextual outcomes evidenced at the project-level

included improved cost and schedule predictability, with explanation-building case discussion

emphasizing the following relationships:

• Vertically integrated design and construction teams on Case A appeared to reduce

transaction costs between designers, engineers and contractors. Evidence was found in

examples provided by the project team describing typical problem resolutions and in

reviewing categorical separations of mechanical construction and general condition costs.

• Contractor design responsibility in the design-build delivery on Case A promoted

schedule accountability and enabled alignment of design deliverables with the

construction schedule. A comparison of detailed timelines for Case A and Case B,

combined with linear plots of project and mechanical system delivery speeds, indicate

higher levels of communication and feedback between the design and construction teams

on Case A.

• When paired with contractor design responsibility, the lump sum contract on Case A

encouraged cost control from the design-build team. Conversely, the cost plus fee

contract used on Case B was ineffective in limiting cost growth. Differences are evident

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when plotting design completion at award against cost growth, where Case A showed

significantly less cost growth despite a lower design completion.

• A stronger owner commitment on Case A, which included a nearly complete owner

program at RFP issuance and emphasis on project performance, appeared to reduce the

likelihood of cost growth.

• A high team commitment, strengthened by an award-fee incentive program rewarding the

completion of intermediate milestones and performance exceeding contractual

expectations, contributed to an early completion on Case A. From a review of the award-

fee structure, nearly 45% of the incentive pool was coupled with early turnover and

project completion.

At the building system-level, integration of the mechanical contractor resulted in several

improvements to the HVAC system and predicted energy usage on Case A, which were achieved

at roughly the same unit cost as the system constructed on Case B. These mechanical system-

level benefits included the following:

• Indoor air quality and reduced risk of infection due to design of a 100% outdoor air CAV

system for patient spaces in Case A, compared with approximately 30% outdoor air

provided with a VAV system on Case B.

• While both projects used heat recovery chillers to reduce the energy required for cooling

loads, the design-build mechanical contractor on Case A also successfully integrated

enthalpy wheels for energy recovery from exhausted air. While a higher first cost

system, the predicted energy savings per gross square-foot for Case A were nearly double

the savings anticipated on Case B.

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Chapter 6

CONCLUSIONS AND CONTRIBUTIONS

6.1 Research Conclusions

This research used a comparative case study of two similar healthcare facilities to evaluate

the involvement of the mechanical contractor in the design and construction process by extending

existing project-level metrics, initially developed for High-Performance Green (HPG) buildings,

down to measuring the performance of a single building system and specialty contractor. Based

on a methodical assessment of project documents, jobsite observations and over thirty different

performance metrics, the following conclusions are supported:

A. Cost and schedule predictability outcomes, measured at the mechanical building system-

level on both cases, were directly relatable to outcomes at the project-level. Specifically:

Cost predictability was improved by:

(1) reducing transaction costs between contractors and designers within a design-

build organizational structure,

(2) incentivizing cost control by consolidating design performance and construction

responsibilities under a lump sum contract, and

(3) completion of owner programming requirements prior to contract award.

Schedule predictability was improved by:

(1) contractor alignment of design deliverables with construction activities in a

design-build organizational structure, and

(2) a strong team commitment resulting from incentive programs that reward early

completion.

B. Engaging the mechanical contractor in a design-build arrangement demonstrates

potential for improving the lifecycle energy savings and jobsite safety of healthcare

construction projects.

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Specialty contractors, specifically mechanical contractors, add value to the project by

contributing construction knowledge and experience early in the design process. Under a

design-build arrangement, the mechanical contractor has the opportunity and incentive to

engage in iterative system design, which improves the energy efficiency of the facility

and reduces the likelihood of construction safety accidents.

6.2 Research Limitations

As case study based research, these conclusions are challenged by both internal and

external validity and researcher and data collection bias. The following limitations should be

considered before overextending the results of this case study comparison to future projects:

• This comparative study used only two cases and may not represent the full sample set of

construction projects within the healthcare industry. Since the analyzed cases were

specifically recommended by the mechanical contractor and not rigorously selected from

a database or pool of healthcare project cases, the ability to generalize from either case

may be limited to projects with similar context. Both Case A and Case B were vetted

prior to data collection to ensure that the project were not unusual or special cases, and

while many similarities were observed between cases, they unquestionably represented

the high-end of size, cost and interior finishes for modern healthcare facilities.

• The research methodology used to compare case outcomes and variable relationships

was analytically based, rather than statistical, and therefore more vulnerable to

researcher bias. While efforts were made to explore several causal explanations for

outcome differences and corroborate results with multiple data sources, an analytical

comparison cannot identify every contributing factor to a specific outcome using only

two cases. Therefore, the research showed preference to affirmative statements for

relationships or “X contributes to Y”, rather than the negative position or “X does not

contribute to Y”.

• A significant amount of project information was provided by the mechanical contractor

on both cases, with years of experience providing design-build construction services.

With a business model focused on delivering and maintaining design-build projects, the

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close involvement of the mechanical contractor introduced vulnerability to bias in data

collection. Internally, the risk of data bias was mitigated by corroborating cost and

schedule data with both discussions and correspondence with other project team

members, including the CM/GC and owner.

6.3 Research Contributions

The contributions of this research to the AEC industry include:

1) Demonstration of a structured, analytical approach of applying project-level metrics to

measure the performance of specific building system, with a single specialty contractor

involved in the design and construction of healthcare facilities. As specialty contractors

become more influential, due to increases in relative contract value and design

responsibilities, tracking the building system-level performance is crucial in predicting

project-level success.

2) Expansion of the definition of the “Owner Commitment” independent project variable

from a strictly High-Performance Green (HPG) application to encompass decision-

making and scope definition competencies. Making timely decisions and adequately

defining the project scope are criteria representative of the level of planning performed

prior to construction, which requires a strong owner commitment.

3) Introduction of a “Team Commitment” independent project variable to gauge the success

of team integration and commitment to project goals. Based on prior research on

commonalities in effective construction teams, this variable weighs contractual incentive

programs, shared design responsibilities, the presence of a “blame culture”, ability to

complete common goals, valuation of team member feedback and equal treatment of

team members to quantify a level of integrated team commitment.

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6.4 Recommendations for Future Research

To expand this analytical approach towards project performance relationships, several

recommendations for future research are proposed:

1) Identify and test the process impacts from independent project variables. Independent

project variables or project attributes, including organizational structure, contract type,

procurement strategy, owner commitment, team commitment and team characteristics,

are difficult to relate directly with project outcomes. These project attributes often define

several aspects of design and construction processes. For instance, selecting an

organizational structure establishes the hierarchy, information flow and design

responsibility for the project. From a causal perspective, which of these impacts from the

organizational structure is contributing to a specific outcome? Attempts were made

during this study to link potential outcome causes to corresponding and influencing

project attributes, but further research is needed to identify and test the process impacts of

these independent project variables to enable more detailed and accurate case study

comparisons.

2) Test the building system-level analysis on other influential specialty contractors involved

in the design and construction of healthcare projects. Electrical, structural and façade

enclosure contractors represent a significant portion of the contract value on hospital

projects and are frequently engaged for design-build or design assist services. Since this

research focused exclusively on the mechanical contractor, additional studies are needed

to test the validity of these results for other influential contractors.

3) Assess the effectiveness of contracting incentive programs in promoting goal alignment

and encouraging performance on integrated project teams. As strongly evidenced on

Case A, the award-fee structure provided a strong financial incentive for a timely project

completion by rewarding intermediate design and construction milestones. As more

owners experiment with multi-party contracts, such as integrated project delivery (IPD),

fairly balancing risk and reward within the agreement may be the key creating strong

team interaction and relationships.

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APPENDIX A

Glossary of Terms

Building system-level: Contracted design, engineering and construction scope for a specific

functional building system, such as mechanical, electrical or façade. The building system may

be installed by one or more contractors, employing a single trade or multiple tradesmen. For

example, a contractor responsible for the building mechanical system may require several

trades, including: pipefitters, mechanics, sheet metal fabricators and installers, insulators and

control technicians.

Control variable: Describes the external environment and defining qualities of the project scope,

including: project type, intended building use, building size, geographic location, project

complexity, availability of skilled or qualified contractors, local regulations, legal constraints,

building system characteristics and sustainable features. Control variables are assumed to

remain constant during the design and construction of the project.

Dependent variable: Expressed at both the project and building system-level, dependent variables

are measurable outcomes including: cost, schedule, quality, safety and sustainability

performance. The values of these variables are frequently expressed as metrics, created from

measured in-process data on a specific project.

Independent variable: Describes the delivery decisions and team composition for the project,

including: organizational structure, contract type, procurement strategy, owner commitment,

team commitment and team characteristics. For the purpose of this research, independent

variables are synonymous with the term “project attributes” and are unaffected by variations in

other variables.

Project-level: Contracted architectural design, engineering and construction scope for the overall

project organizational level, excluding owner-specific costs such as land, financing, planning

and feasibility studies, consultants or inspectors, overhead and owner-furnished equipment.

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APPENDIX B

Sample Semi-Structured Interview Questions

Assessing “Owner Commitment”, “Team Characteristics” and “Team Commitment” variables:

Owner Commitment

Who introduced the “green” concept to the project? When was it introduced?

What was the reason for pursuing “green” objectives?

How important were “green” goals for the project? How were they communicated to the

project team?

Was “green” contractually or verbally mandated?

Team Characteristics

How experienced is the team with similar projects?

Have you worked together with members of the team on previous projects?

How capable was the owner’s representative?

Was the owner able to adequately define scope?

Was the owner able to make decisions?

Was the team generally compatible?

How was information shared between parties? Was information only available to the

individuals responsible for that trade’s work?

Was the team located in a common office or separated?

Team Commitment

How did the team respond to the identification and resolution of problems? Was there a

culture of blame evident?

How would you describe the focus of the team? How did the team work to complete project

objectives?

Did working as a team improve the cost and time predictability of the project?

How flexible was the team in response to shifting workloads? Were new team members

added as necessary and less effective members removed?

Were all team members treated equally?

Were the comments or suggestions of team members valued and considered? How was

feedback provided?

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APPENDIX C

Summary of Independent Project Variables for Case A and B

Project Attribute Case A Evidence

Contractor Contract Type Lump Sum • Contract value for design-build team and mechanical contractor

set fixed priced at contract award

Project Delivery Method Design-Build • CM/GC joint venture with design-build architect and

subcontractors as partners during RFP process

Contractor Procurement Best Value

• RFP issued on owner’s solicitation website as 2-phase design-build package

• Competitively procured and negotiated with qualified design-build teams

Contractor Design Integration High

• Mechanical contractor involved at 10% MEP design, 30% architectural design

• Responsible for energy performance, system design and installation

Owner Commitment High

• Vision statement issued with RFP to contractors • Mandated performance:

1) "…meet a minimum of "Certified" in the US Green Building Councils (USGBC) 'Leadership in Energy and Environmental Design (LEED) Rating System version 2.2'."

2) "...conform to the latest edition of ASHRAE Standard 90.1-2004... In addition...the Energy Policy Act of 2005 requires … designs achieve energy consumption levels 30% below the ASHRAE 90.1 baseline building."

3) “Green” promoted through owner program section Sustainable Design and distributed with RFP, dated 1-year prior to construction start.

• Emphasizes key sustainable principles: 1) "Reduce the total cost of ownership of the facility using a

whole building, life-cycle approach."

2) “Provide integrated sustainable design strategies and features to minimize energy consumption.”

Owner had some difficulty interpreting end-user feedback during the design process, resulted in scope ambiguities. Example: Owner provided CM/GC with an end-user request to change a “Waiting Room” into a “Reading Room”, but provided no further information on the desired scope modifications.

Team Commitment High

• Award fee program: “Unearned fee will not carry over into subsequent fee periods.”

• Liquidated damages: “…the following amounts for each calendar day of delay until the work is completed or accepted…”

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• Mechanical contractor contractually responsible for performance of HAVC systems.

• Predictable project schedule enabled owner to request an early turnover of Buildings A and B. According to CM/GC, the early completion of structural trades and wall close-ins created 4 to 6-weeks of float passed to owner.

• Consistently strong team atmosphere, with the following observations: 1) Mechanical and other contractors wanted to attend safety

and coordination meetings 2) CM/GC meeting leaders went around the table, asking each

contractor to offer any recommendations or concerns for upcoming work (safety, sequence, etc.)

3) Construction incidents resulted in investigation, rather than finger-pointing. Example: Heat from muffler ignited combustible material during emergency generator testing. Meetings called to understand the cause of fire (fire-rated plywood used as substrate too close to generator muffler) and determine solution. Within 2-days of incident, mechanical contractor worked with design-build architect to revise the wall penetration detail, despite having only minimal responsibility for the fire.

4) Numerous visits from CM/GC team to mechanical contractor’s construction trailer to discuss design and commissioning issues.

Team Characteristics High

• Mechanical contractor superintendents are experienced with clean rooms and pharmaceuticals, but not explicitly hospital facilities. Owner staff is mixed in exposure to healthcare projects and was assembled internally after issuance of the RFP. CM/GC and design-build architect both have previous hospital experiences, but less with publically funded projects.

• Observed team interactions and instances of integration: 1) Universal use of “Constructware” software for document

management, which provided access to submittals, RFIs, change notices and drawing packages to all team members.

2) Mechanical contractor worked previously with members of the CM/GC management staff and electrical contractors.

3) Trailers connected via boardwalks, but not shared between parties. Design-build architect and mechanical contractor engineer have offices onsite to respond quickly to design questions.

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4) Mechanical contractor is not invited to bi-weekly owner progress meetings; CM/GC prefers a single voice or point of contact with owner. However, owner is comfortable working 1-on-1 with mechanical contractor, often appearing to value mechanical contractor’s opinion over the GC/CM (ex: Commissioning Meeting 7/15/2010).

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Project Attribute Case B Evidence

Contractor Contract Type Cost Plus Fee

• Owner describes contract as “fixed price with a ceiling, paid on a cost-reimbursable basis”

• Ceiling price is bid, not stipulated. Owner and successful contractor negotiate a firm fixed price typically around 85% design completion.

• Very similar to cost-plus fee, but lacking the incentive structure found in typical publically funded cost-plus projects

Project Delivery Method CM at Risk

• A version of design-build-build with early contractor involvement • Attempt to gain fast tracking and contractor benefits of CMR and

design-build deliveries, without relinquishing owner control of either architect or CM/GC contracts

Contractor Procurement Best Value • Bids solicited via website, owner considered price and non-price

factors before selecting contractor.

Contractor Design Integration Medium • Mechanical contractor contacted for periodic design assist

meetings, starting at 25% MEP design.

Owner Commitment Low

• No vision or mission statement distributed with RFP to contractor.

• Sustainability guidelines presented in RFP: 1) “As a LEED project, the selection and use of materials and

finishes that will contribute to LEED points will be very important.”

2) “The inclusion of appropriate materials and their use in this project is a critical element that has already begun.”

3) “In order to minimize the building’s energy consumption and comply with the LEED certification criteria, various energy conservation techniques will be used or further evaluated during the design.”

• “Green” introduced to architect during conceptual design (resulted in deliberate material selection, rain catchment system, etc.) and conveyed to contractors though RFP documents.

• LEED was heavily emphasized to architect, but specific owner requests limited potential for energy efficiency and cost savings. Examples: Using VAV systems in pressurized spaces (not energy efficient) and locating VAV boxes in hallways to reduce patient room noise (added cost for ceiling coordination).

• CM/GC noted that owner typically behaved as list-makers and box checkers, very rigid and slow to make decisions, often relying the designer, engineer or specifications for guidance. Example: During MEP management meeting, 3 outstanding change orders were identified—2 awaiting owner funding approval and 1 awaiting owner direction to proceed.

103

Team Commitment Low

• No contract incentive clauses or award fee program. However, liquidated damages are specified for exceeding the completion deadline.

• Contractual responsibility for design resides only with architect. Constructability or efficiency improvements to HVAC systems from mechanical contractor can be accepted or rejected at owner’s discretion.

• Low cost and schedule predictability, as demonstrated by the following: 1) Three efforts by owner to establish the ceiling price or

convert cost-plus contracts into lump sum. Attempts were performed at 6-8 month intervals.

2) Unmet design milestones, resulting in fractured design packages issued to keep pace with overlapping construction activities. The original schedule identified 9 drawing packages, which quickly grew to 200+ CDs and 800+ ASIs.

• Inconsistent team atmosphere, with the following observations: 1) Mechanical and electrical contractor field staff dread the

weekly MEP management meetings, which are not viewed as unproductive (minor issues exaggerated, milestone dates stressed without feasibility checks, etc.). However, the general (non-MEP specific) meetings are led by different CM/GC staff and are viewed more favorably by contractors.

2) Construction conflicts and design issues tend to linger “open” for long periods before reaching resolution. Often, trades continue working without design answers, which requires rework. Example: Owner added roof hatches to stairwell in Building A, which was noted as a conflict with the location of planned sprinkler standpipe and fan coil cooling unit. Despite this issue, sprinkler and drywall trades installed their work in the stairwell. An RFI with proposed relocation of the fan coil unit was issued. As of data collection, the conflict is still considered “open” and pending approval from architect.

3) Contractors are frustrated with progress of design, the lack of information to finish their work.

Team Characteristics High

• First CMR project for many owner staff, a combination of approximately 20% public employees and 80% outside contractors for consulting services. Due to the volume of projects currently underway, owner staff experienced with large healthcare or commercial projects is spread thin. Additionally, the predominantly civil-minded culture has difficulty adapting to military construction.

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• CM/GC has previous experience with hospital and clean room projects. Architect has completed several healthcare facilities under a Design-Bid-Build delivery, having only minimal experience with the CMR schedule.

• CM/GC, subcontractors and owner have separate trailer complexes onsite. Architect visits jobsite weekly to perform contract administration (CA) work, but is otherwise only onsite as needed or requested to solve a field conflict.

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APPENDIX D

Diagram for Relating Outcomes of Improved Predictability on Case A and B

Cost

Pred

ictab

ility:

Pote

ntial

Cau

sal R

elatio

nship

s

Impr

oved

cost

pred

ictab

ility

Team

Tool

s

Proc

ess

Ow

ner a

bilit

y to

defin

e sc

ope

earl

ier i

n de

sign

, mak

ing

few

er r

evis

ions

dur

ing

cons

truc

tion.

Com

plet

enes

s of o

wne

r pr

ogra

m a

nd

desi

gn a

t sta

rt o

f con

stru

ctio

n.

Team

und

erst

andi

ng o

f ow

ner’

s co

st

goal

s and

com

mitm

ent t

o va

lue.

Cha

nge r

isk

plac

ed w

ith c

ontr

acto

r, us

ing

com

bina

tion

of lu

mp

sum

con

trac

t te

rms

and

cont

ract

or d

esig

n re

spon

sibi

lity.

106

Sche

dule

Pred

ictab

ility:

Pote

ntial

Cau

sal R

elatio

nship

s

Impr

oved

sche

dule

pred

ictab

ility

Team

Tool

s

Proc

ess

Aw

ard-

fee i

ncen

tive

prog

ram

, whi

ch r

ewar

ded

cont

ract

or

addi

tiona

l fee

for m

eetin

g de

sign

del

iver

able

dea

dlin

es

and

spec

ific

cons

truc

tion

perf

orm

ance

cri

teri

a.C

ontr

acto

r inp

ut o

n th

e co

nten

t of

desi

gn d

eliv

erab

les,

crea

ting

flow

&

pull

duri

ng c

onst

ruct

ion.

Tim

elin

ess o

f ow

ner

deci

sion

-mak

ing,

due

to le

ss

repr

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tatio

n.U

se o

f onl

ine

docu

men

t m

anag

emen

t sof

twar

e fo

r sh

arin

g al

l dra

win

gs, R

FIs

& s

ubm

ittal

s

Des

ign

sche

dule

inte

gral

with

co

nstr

uctio

n sc

hedu

le a

nd

man

aged

by

cont

ract

or.